Individual provider · Type 1 NPI

Cleve Edward Jackson Ii, APRN FNP-C

Family Nurse Practitioner · Louisa, KY

NPI number 1093666190 Active

Practice location

23 A St Ste B
Louisa, KY 41230-6001

Call (606) 638-4504 Map

Fax (606) 638-1300

Mailing address

2810 Fullers Ridge Rd
Louisa, KY 41230-6235

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	4051767 (KY)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Three Rivers Medical Clinics IncRural Health Clinic/Center Louisa, KY NPI 1437824406
Brandon Hugh Webb, DOInternal Medicine Physician Louisa, KY NPI 1285859645

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About NPI 1093666190

Cleve Edward Jackson Ii, APRN FNP-C's National Provider Identifier is 1093666190, issued on Feb 4, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisa, KY. The record was last updated on Nov 2, 2026.