Kimberly Michelle Jackson | New Orleans, LA • PECOS Search

Kimberly Michelle Jackson

Case Manager/Care Coordinator

Other Service Providers

1995 Gentilly Blvd, New Orleans, LA 70119-1700

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Michelle Jackson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1114662269
Provider Type
Individual
Full Name
Jackson, Kimberly Michelle
Gender
Female

Sole Proprietor
No
Enumeration Date
5/3/2022
Last Updated
5/3/2022

Contact Information

Practice Location

1995 Gentilly Blvd, New Orleans, LA 70119-1700

Unlisted Fax

Mailing Location

1995 Gentilly Blvd, New Orleans, LA 70119-1700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer