Search › Kentucky › 101YA0400X
Johnnie Jackson, MSW, CSW
NPI 1386094712 · on the registry since 2016
Practice
- Address
- 7160 N Mayo Trl
Pikeville, KY 41501 - Phone
- (606) 657-9988
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-15
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