Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH S JACKSON, FNP
ActiveKENNETH S JACKSON, FNP is a Family Nurse Practitioner healthcare provider located in BRUCETON, Tennessee. NPI 1811237001 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BRUCETON, TN
Registration Details
- NPI Number
- 1811237001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2013 (13.323042079228 yrs)
- Last Updated
- Oct 10, 2025
- License
-
17382 (TN)
Practice Information
- Address
-
123 MAPLE STBRUCETON, TN, 383171819Browse TN providers · Browse ZIP 38317
- Phone
- 7315864800
- Fax
- 7313524459
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.