Individual
LEANNA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1100
Mailing address
300 S 8TH ST STE 480W, MURRAY, KY 42071-2403
(270) 762-1321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016552
KY
Other
Enumeration date
09/27/2021
Last updated
09/24/2024
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