Lori Ann Jackson (NPI# 1235695677, PAC ID# 5193068005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235695677 |
| PAC ID by PECOS | 5193068005 |
| Professional Enrollment ID | I20190516001617 |
| Full Name | Lori Ann Jackson |
| Organization Legal Name | JEROME ANTHONY DIXON D O P S C |
| Address |
150 W Bear Track Rd Campbellsville KY 42718-8709 |
| Phone Number | 2704658133 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426017229 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180087 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2704658133 | JEROME ANTHONY DIXON D O P S C |
| Organization Legal Name | JEROME ANTHONY DIXON D O P S C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Graves | Family Medicine | Jerome Anthony Dixon D O P S C | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 |
| Jerome A Dixon | Family Medicine | Jerome Anthony Dixon D O P S C | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 |
| Street Address |
150 W BEAR TRACK RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip | 42718-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Graves | Family Medicine | Jerome Anthony Dixon D O P S C | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 |
| Jerome A Dixon | Family Medicine | Jerome Anthony Dixon D O P S C | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
| Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
| Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
| Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Mark A Risen | Podiatry | 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| Find all physicians in zip 42718 | |||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMPBELLSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori Ann Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.