Kenneth S Jackson FNP

  • NPI 1811237001
According to our database, the NPI number for Kenneth S Jackson FNP is 1811237001 and activated since 11 years ago. Kenneth S Jackson FNP is an individual provider who specializes in Family, and the primary practice location is 123 Maple St, Bruceton, TN 38317. You can also contact Kenneth S Jackson FNP via telephone number is (731) 586-4800. Provider NPI information was last updated on 02/28/2014.

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Overview of Kenneth S Jackson FNP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/25/2013
  • Last updated: 02/28/2014

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 17382
  • License State: TN

Provider Mailing Address

  • Address: 205 Hospital Dr
    Suite A
    Mc Kenzie, TN 38201
  • Phone: 731-352-7907
  • Fax: 731-352-4459

Provider Practice Location

  • Address: 123 Maple St
    Bruceton, TN 38317
  • Phone: 731-586-4800
  • Fax: 731-352-4459

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 17382
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 10350I2435
  • Identifier Type: Other
  • Identifier State: TN
  • Issuer: MEDICARE PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth S Jackson FNP?
  • A: The npi number for Kenneth S Jackson FNP is 1811237001.
  • Q: What are Kenneth S Jackson FNP's specialties?
  • A: Kenneth S Jackson FNP's specialties are Family and different specialities.
  • Q: What is the medical license for Kenneth S Jackson FNP?
  • A: The medical license number for Kenneth S Jackson FNP is 17382 and issued in TN in USA.
  • Q: Where is Kenneth S Jackson FNP practice location?
  • A: Kenneth S Jackson FNP is practicing at 123 Maple St, Bruceton, TN 38317.
  • Q: How to contact Kenneth S Jackson FNP?
  • A: You can contact Kenneth S Jackson FNP via 731-586-4800.
Medicare Specialty
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Clinical Pharmacology
Family Medicine
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Family Health
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Sports Medicine
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