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Individual

JACKSON DOUGLAS ESSEX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3101 BRECKENRIDGE LN STE 300, LOUISVILLE, KY 40220-2742
(502) 618-5950
Mailing address
3101 BRECKENRIDGE LN STE 300, LOUISVILLE, KY 40220-2742
(502) 618-5950

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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