TAMMY ELIZABETH JACKSON

FRANKFORT, KY
NPI1669180717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KY  3018653)
Enumeration Date2022-11-08
Last Update Date2022-11-08
Business Address
TAMMY ELIZABETH JACKSON PMHNP
2955 SHADRICK FERRY RD
FRANKFORT, KY 40601-9476
Phone number: 502-330-8522
Mailing Address
TAMMY ELIZABETH JACKSON PMHNP
1012 CENTER DR
RICHMOND, KY 40475-3838
Phone number: 859-626-9696
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