Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORGE JACKSON, LAT ATC
ActiveJORGE JACKSON, LAT ATC is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in OWENSBORO, Kentucky. NPI 1437798261 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · OWENSBORO, KY
Registration Details
- NPI Number
- 1437798261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2019 (6.5905818068421 yrs)
- Last Updated
- Dec 26, 2019
- License
-
2000034178 (KY)
Practice Information
- Address
-
2831 NEW HARTFORD RDOWENSBORO, KY, 42303Browse KY providers · Browse ZIP 42303
- Phone
- 2709264100
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
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.