Individual
DR. JAMES LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MEDICAL HEIGHTS DR, SUITE M, FRANKFORT, KY 40601-4137
(502) 227-7538
(502) 227-9248
Mailing address
101 MEDICAL HEIGHTS DR, SUITE M, FRANKFORT, KY 40601-4137
(502) 227-7538
(502) 227-9248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23520
KY
207RP1001X
Pulmonary Disease Physician
Primary
23520
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048738
ANTHEM BCBS
KY
01
—
1376542951
RAILROAD MEDICARE
KY
05
—
64235203
—
KY
05
—
65934895
—
KY
01
—
C30629
RAILROAD MEDICARE
KY
Enumeration date
07/18/2005
Last updated
04/20/2022
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