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NPI Verification

National Provider Identifier: 1538361118

H.s. Jackson Jr. Psc

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Nurse Practitioner, Family

Code: 363LF0000X

Urology

Code: 208800000X

Primary

Practice Address

300 S 8TH ST

SUITE 107E

MURRAY, KY 420712400

Phone: 270-753-9240

NPI Enumeration Date

June 5, 2007

NPI Number

1538361118

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry