Individual
MEGAN KAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2020 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-4225
(270) 282-1907
Mailing address
2289 HAYS SMITHS GROVE RD, SMITHS GROVE, KY 42171-9149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017728
KY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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