Individual ProviderKimberely JamisonLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Kimberely Jamison does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1043575970Provider TypeIndividualFull NameJamison, KimberelyGenderFemaleSole ProprietorYesEnumeration Date7/6/2012Last Updated7/6/2012Contact InformationPractice LocationPractice Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense310202New York