H.S. JACKSON JR. PSC
Organization (NPI-2)
Active
Urology
Provider Information
- NPI Number
1538361118- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 300 S 8TH ST SUITE 107E, MURRAY, KY, 420712400
- Phone
- (270) 753-9240
- Fax
- (270) 767-3629
Specialties & Taxonomies
Nurse Practitioner, Family
License: KY #5519P
Urology
Primary License: KY #15974