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Organization
CAPITAL CITY PSYCH & MENTAL HEALTH
Active
Organization
CAPITAL CITY PSYCH & MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ELIZABETH JACKSON APRN (OWNER)
(502) 385-0806
Entity
Organization
Contact information
Practice address
101 MEDICAL HEIGHTS DR STE H, FRANKFORT, KY 40601-4137
(502) 385-0806
(502) 385-0656
Mailing address
2955 SHADRICK FERRY RD, FRANKFORT, KY 40601-9476
(502) 330-8522
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
09/15/2026
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