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Jared Jackson, PH.D
NPI 1902184732 · on the registry since 2011 · sole proprietor
Practice
- Address
- 6102 Tennessee Ave
Fort Campbell, KY 42223 - Phone
- (909) 810-7332
- Organisation at this address
- Blanchfield Army Community Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-08
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