Jackson Physician Corp

NPI #1164722807 in Jackson, Kentucky

Provider Information

NPI Number
1164722807
Entity Type
Organization
Organization Name
Jackson Physician Corp
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 28, 2010
Last Updated
May 17, 2012

Practice Location

Address
424 JETT DR
ZIP Code
41339-9621
Phone
(606) 666-5354

Authorized Official

Name
DEBBIE BREWER
Title
DIRECTOR
Phone
(877) 892-9813

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Durable Medical Equipment & Medical Supplies

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