Individual
MS. MARKQUETTA RENEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
406 BLANKENBAKER PKWY STE C1, DOUGLASS HILLS, KY 40243-1881
(502) 654-9575
Mailing address
2200 PASEO VERDE PKWY STE 190, HENDERSON, NV 89052-2703
(702) 589-4871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3008203
KY
363LF0000X
Family Nurse Practitioner
842906
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3008203
KY
Other
Enumeration date
07/17/2013
Last updated
02/10/2025
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