NPI 1073754065

Willie Mae Jackson, MD

Practitioner Psychiatry Physician Owensboro, KY

Practice location

Address: 2211 Mayfair Dr Suite 409, Owensboro, KY 42301-4568
Phone: (270) 417-7980
Fax: (270) 417-7989
Mailing address: PO Box 23229, Owensboro, KY 42304-3229

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 46400 (KY)

Other Psychiatry & Neurology providers in Kentucky →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1073754065
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2009
Record last updated: 4 Nov 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.