Individual
JO E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
160 BAKERS ACRE RD, CARLISLE, KY 40311-9421
(859) 473-0271
Mailing address
450A TUCKER DR, MAYSVILLE, KY 41056-9110
(606) 759-0339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016232
KY
Other
Enumeration date
07/25/2021
Last updated
03/31/2022
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