Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARKQUETTA RENEE JACKSON, PMHNP
ActiveMS. MARKQUETTA RENEE JACKSON, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in DOUGLASS HILLS, Kentucky. NPI 1013358183 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · DOUGLASS HILLS, KY
Registration Details
- NPI Number
- 1013358183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2013 (13.0406864997 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
842906 (NV)3008203 (KY)3008203 (KY)
Practice Information
- Address
-
406 BLANKENBAKER PKWY STE C1DOUGLASS HILLS, KY, 402431881Browse KY providers · Browse ZIP 40243
- Phone
- 5026549575
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.