Doctor Name: | DR. APRIL L JACKSON |
NPI Number: | 1447462668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TP249 |
Business Practice Address: | 2601 Kentucky Ave. Doctor Bldg. 1 Suite 201 Paducah, KY - 420038468 |
Business Phone Number: | 2705389555 |
Business Fax Number: | 2705389554 |
Mailing Address: | Po Box 8468, PADUCAH |
State: | KY |
Postal Code: | 420028468 |
Phone Number: | 2705389555 |
Fax Number: | 2705389554 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | TP249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |