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Individual

MRS. MELISSA MORGAN JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
120 N EAGLE CREEK DR STE 360, LEXINGTON, KY 40509-1827
(859) 258-5270
(859) 258-5202
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2771
(859) 258-6000
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4005723
KY
363L00000X
Nurse Practitioner
Primary
4005723
KY

Other

Enumeration date
06/28/2023
Last updated
07/19/2023
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