H.s. Jackson Jr. Psc

NPI #1538361118 in Murray, Kentucky

Provider Information

NPI Number: 1538361118
Entity Type: Organization
Organization Name: H.s. Jackson Jr. Psc
Primary Specialty: Urology
Enumeration Date: Jun 5, 2007
Last Updated: Dec 21, 2010

Practice Location

Address: 300 S 8TH ST
Address 2: SUITE 107E
City: Murray
State: Kentucky
ZIP Code: 42071-2400
Phone: (270) 753-9240

Authorized Official

Name: HERSCHEL SWAN JACKSON JR., M.D.
Title: PRESIDENT
Phone: (270) 753-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Urology	208800000X	Primary

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