Individual
MRS. PATSY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
787 PARKWAY DR, SALYERSVILLE, KY 41465-9740
(606) 889-3221
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8539
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009566
KY
Other
Enumeration date
08/20/2015
Last updated
11/11/2015
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