Dr LORI ANN JACKSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
JEROME ANTHONY DIXON D O P S C
150 W BEAR TRACK RD
CAMPBELLSVILLE
KY
427188709
Tel: 2704658133
Npi | 1235695677 |
Pac Id | 5193068005 |
Professional Enrollment Id | I20190516001617 |
Last Name | JACKSON |
First Name | LORI |
Middle Name | ANN |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | JEROME ANTHONY DIXON D O P S C |
Group Practice Pac Id | 8426017229 |
Number Of Group Practice Members | 4 |
Line 1 Street Address | 150 W BEAR TRACK RD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | CAMPBELLSVILLE |
State | KY |
Zip Code | 427188709 |
Phone Number | 2704658133 |
Hospital Affiliation Ccn 1 | 180087 |
Hospital Affiliation Lbn 1 | TAYLOR REGIONAL HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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