Individual provider · Type 1 NPI
Markquetta Renee Jackson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Douglass Hills, KY
NPI number
1013358183
Active
Practice location
406 Blankenbaker Pkwy Ste C1
Douglass Hills, KY 40243-1881
Mailing address
2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703
Other practice locations
- 2200 Paseo Verde Pkwy Ste 190, Henderson, NV 89052-2703 · (702) 589-4871
- 1939 Goldsmith Ln Ste 100, Louisville, KY 40218-3090 · (502) 873-7517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 842906 (NV) |
| Family Nurse Practitioner | 363LF0000X | 3008203 (KY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 3008203 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1013358183
Markquetta Renee Jackson, PMHNP's National Provider Identifier is 1013358183, issued on Jul 17, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Douglass Hills, KY. The record was last updated on Feb 10, 2025.