LEANNA MARIE JACKSON APRN NPI 1922779172

NPI Information

NPI: 1922779172
Provider Name: LEANNA MARIE JACKSON, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2509 MAPLE GROVE RD
CADIZ, KY
ZIP 42211
Phone: (270) 839-8303
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Leanna Marie Jackson, APRN is a family nurse practitioner in Cadiz, KY. Leanna Marie Jackson, APRN NPI is 1922779172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2509 MAPLE GROVE RD
CADIZ, KY
ZIP 42211-491
Phone: (270) 839-8303

The enumeration date for this NPI number is 9/27/2021 and was last updated on 9/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3016552	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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