Search › Kentucky › 376K00000X
Jamie Jackson
NPI 1154671816 · on the registry since 2012 · sole proprietor
Practice
- Address
- 7409 Patrick Henry Ct
Apt. 8
Louisville, KY 40214 - Phone
- (502) 876-4548
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 374U00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-10
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