Individual
LORI ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
990 WILKINSON TRCE, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-0778
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012954
KY
Other
Enumeration date
02/11/2019
Last updated
02/26/2025
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