Kenneth S Jackson is a Family Nurse Practitioner based in Mc Kenzie, TN and is specialized in Family. Kenneth S Jackson practices in Bruceton, TN and has the professional credentials of FNP. The NPI Number for Kenneth S Jackson is 1811237001 and holds a License No. 17382 (Tennessee).
The current practice location address for Kenneth S Jackson is 123 Maple St, Bruceton, TN and can be reached out via phone at 731-586-4800 and via fax at 731-352-4459.
Identifier | Type | State | Issuer |
---|---|---|---|
3380640 | 01 | TN | GROUP MEDICAID |
3380640 | 01 | TN | GROUP MEDICARE |
10350I2435 | 01 | TN | MEDICARE PTAN |
Q001235 | 05 | TN |
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