KIBIBI A JACKSON FNP-BC NPI 1831790526

NPI Information

  • NPI: 1831790526
  • Provider Name: KIBIBI A JACKSON, FNP-BC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 483 UPPER RIVERDALE RD SW
    RIVERDALE, GA
    ZIP 30274
  • Phone: (770) 996-9400

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NPI Details

Kibibi A Jackson, FNP-BC is a family medicine in Riverdale, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kibibi A Jackson, FNP-BC NPI is 1831790526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

483 UPPER RIVERDALE RD SW
RIVERDALE, GA
ZIP 30274-584
Phone: (770) 996-9400

The enumeration date for this NPI number is 11/8/2020 and was last updated on 9/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineRN265070GEORGIAYes
2163WE0003XRegistered NurseEmergencyRN265070GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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