Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimcheree Jackson

Individual provider Nurse Practitioner · NPI 1083093355

Kimcheree Jackson is a Nurse Practitioner in Sanford, Florida. Qualified in 2014, 12 years ago. Practices with Upperline Healthcare PC, a 188-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015

Practice location Address checks out

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone: (407) 322-8645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9250679 (FL)

Record details

NPI number1083093355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2015
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Upperline Healthcare Pc — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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