BRITTANY ANN JACKSON APRN PMHNP-BC NPI 1477949576

NPI Information

NPI: 1477949576
Provider Name: BRITTANY ANN JACKSON, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: KENTUCKY PSYCHIATRY LLC

PECOS Registration: Yes

Address:
1300 ANDREA ST STE 205
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 205-4585
Get Directions

Brittany Ann Jackson, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Bowling Green, KY with 4 years of experience. Brittany Ann Jackson, APRN, PMHNP-BC NPI is 1477949576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1300 ANDREA ST STE 205
BOWLING GREEN, KY
ZIP 42104-382
Phone: (270) 205-4585

The NPI 1477949576 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 10/5/2020.

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	163W00000X	Registered Nurse		240639	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3015177	KENTUCKY	Yes
3	171M00000X	Case Manager/Care Coordinator				No

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: 11/14/2023

NPI Synchronization or Removal

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