JESSICA S JACKSON DPM PLLC NPI 1558516054

NPI Information

JESSICA S JACKSON DPM PLLC is a podiatrist in Louisville, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JESSICA S JACKSON DPM PLLC NPI is 1558516054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15014 BIRCHAM RD
LOUISVILLE, KY
ZIP 40245-104
Phone: (502) 558-0194

The provider's authorized official is Jessica Jackson .
The authorized official title is Dpm and has the following contact phone number (502) 558-0194.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 1/20/2021.

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:

Other Identifiers

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