Jackson Physician Corp

NPI #1841234671 in Jackson, Kentucky

Provider Information

NPI Number: 1841234671
Entity Type: Organization
Organization Name: Jackson Physician Corp
Primary Specialty: General Practice
Enumeration Date: Jun 15, 2006
Last Updated: Nov 12, 2024

Practice Location

Address: 424 JETT DR
City: Jackson
State: Kentucky
ZIP Code: 41339-9621
Phone: (066) 936-4830

Authorized Official

Name: LAURA J FEY
Title: SR. DIRECTOR PHYSICIAN REV CYCLE
Phone: (615) 221-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Obstetrics & Gynecology	207V00000X
Nurse Practitioner	363L00000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Anesthetist, Certified Registered	367500000X
General Practice	208D00000X	Primary

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