Search › Kentucky › 101Y00000X
Jasen Jackson
NPI 1063615789 · on the registry since 2007
Practice
- Address
- 2225 W Broadway
Louisville, KY 40211 - Phone
- (502) 589-1100
- Fax
- (502) 589-8771
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky