# H.S. JACKSON JR. PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538361118
- **Authorized official:** HERSCHEL SWAN JACKSON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (270) 753-9240

## Contact information

- **Practice address:** 300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
- **Practice address phone:** (270) 753-9240
- **Practice address fax:** (270) 767-3629
- **Mailing address:** 300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
- **Mailing address phone:** (270) 753-9240
- **Mailing address fax:** (270) 767-3629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 15974 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 5519P | KY | — |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 12/21/2010