Jackson, Billie Jo

Jackson, Billie Jo is an individual health care provider with primary practice located at 18880 N Us Highway 119 , Cumberland KY 40823-8106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Billie Jo can be contacted via phone (606) 589-0130.

Contact Information

Primary practice address
18880 N Us Highway 119 Cumberland KY 40823-8106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3012226 Kentucky

Profile Details

NPI number 1689167736
LBN Legal business name Jackson, Billie Jo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated Jun 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689167736 NPPES
Kentucky Other 3012226 KENTUCKY BOARD OF NURSING

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