Individual
NEKKESIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 VIRGINIA AVE, LOUISVILLE, KY 40211-3418
(502) 963-5677
Mailing address
8803 FURLONG DR APT 10, LOUISVILLE, KY 40242-7504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00001424
KY
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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