Individual
TAMMY ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
409 HOLMES ST, FRANKFORT, KY 40601-2209
(502) 385-0806
(502) 385-0656
Mailing address
2955 SHADRICK FERRY RD, FRANKFORT, KY 40601-9476
(502) 385-0806
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018653
KY
Other
Enumeration date
11/08/2022
Last updated
05/21/2025
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