Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED A JACKSON, PH.D.
Active Sole ProprietorDR. JARED A JACKSON, PH.D. is a Psychologist healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1902184732 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1902184732
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2011 (15.02722072792 yrs)
- Last Updated
- May 8, 2025
- License
-
1690 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6102 TENNESSEE AVEFORT CAMPBELL, KY, 422235940Browse KY providers · Browse ZIP 42223
- Phone
- 9098107332
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. CARLETTA LEMONIA MCDOWELL | PSYCHOLOGIST | 1982679759 |
| MS. STACY QUINT | PSYD | 1457308074 |
| DR. BEN LESCZYNSKI | PHD | 1043386618 |
| EMILE K WIJNANS | PSYCHOLOGIST | 1255488862 |
| RYAN TRUMBO | — | 1497889521 |
| DR. KATHRYN LEIGH BALDWIN | PH.D. | 1164664850 |
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.