Individual
MORGAN NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-5088
Mailing address
318 S 1ST ST, MAYFIELD, KY 42066-2512
(270) 356-6917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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