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Nicholas Jackson
NPI 1205298387 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1000 Dupont Rd
Louisville, KY 40207 - Phone
- (502) 899-6150
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-27
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