Dwight Jackson

NPI #1013055896 in Flatwoods, Kentucky

Provider Information

NPI Number: 1013055896
Entity Type: Individual
Name: Dwight Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Feb 2, 2007
Last Updated: Dec 11, 2020

Practice Location

Address: 925 DANIELS DR
City: Flatwoods
State: Kentucky
ZIP Code: 41139-1605
Phone: (606) 836-1886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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