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Kenneth S Jackson (FNP)

Kenneth S Jackson (FNP) is a health care provider specializes in Nurse Practitioner. He is associated with medical group practice MCKENZIE MEDICAL CENTER PC and is affiliated with 4 hospitals as shown below.

profile-icon Basic Information

Practice Location 123 Maple St, Bruceton, TN 38317-1819, US
Practice Location Phone731-586-4800
Practice Location Fax731-352-4459
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year2012
NPI ?1811237001
PECOS ID2163663931
Enrollment IDI20130722000341
Entity TypeIndividual
Enumeration Date ? Feb 25, 2013
Last Update Date ? Feb 28, 2014
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Kenneth S Jackson

SpecialtySpecializationLicenseLicense State
Nurse PractitionerFamily 17382Tennessee

Medicare-icon Medicare Participation of Kenneth S Jackson

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Kenneth S Jackson

Medical Group PracticeMckenzie Medical Center Pc
Affiliation 1 Mckenzie Regional Hospital
Affiliation 2 Baptist Memorial Hospital Huntingdon
Affiliation 3 Camden General Hospital
Affiliation 4 Henry County Medical Center

legacy-id-icon Legacy Provider IDs of Kenneth S Jackson

Provider IdIssuer StateIssuer TypeIssuer
3380640TennesseeOtherGROUP MEDICARE
10350I2435TennesseeOtherMEDICARE PTAN
3380640TennesseeOtherGROUP MEDICAID