NPI 1013055896
Dwight Jackson
Practice location
- Address
- 925 Daniels Dr, Flatwoods, KY 41139-1605
- Phone
- (606) 836-1886
- Mailing address
- PO Box 790, Ashland, KY 41105-0790
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1013055896
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Feb 2007
- Record last updated
- 11 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.