Organization
JACKSON HEALTH AND WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNEY JACKSON APRN (CEO)
(270) 629-6722
Entity
Organization
Contact information
Practice address
102 PHYSICIANS BLVD STE B, GLASGOW, KY 42141-1299
(270) 629-6722
(270) 629-6723
Mailing address
102 PHYSICIANS BLVD STE B, GLASGOW, KY 42141-1299
(270) 629-6722
(270) 629-6723
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100144360
—
KY
Enumeration date
04/24/2016
Last updated
06/27/2023
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