# JACKSON PURCHASE MEDICAL ASSOCIATES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699850263
- **Authorized official:** CARMEL BROWN (DIRECTOR OF FINANCE)
- **Authorized official phone:** (270) 538-5866

## Contact information

- **Practice address:** 225 MEDICAL CENTER DR, SUITE 201, PADUCAH, KY 42003
- **Practice address phone:** (270) 441-4200
- **Practice address fax:** (270) 441-4398
- **Mailing address:** 225 MEDICAL CENTER DR STE 206, PADUCAH, KY 42003-7914
- **Mailing address phone:** (270) 441-4522
- **Mailing address fax:** (270) 441-4822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | Yes |
| 173000000X | Legal Medicine | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/08/2018