Individual provider · Type 1 NPI
Kenneth James Jackson
Family Nurse Practitioner · Centerville, OH
NPI number
1700790060
Active
Practice location
7677 Yankee St Ste 140
Centerville, OH 45459-3475
Fax (937) 454-0077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN.CNP.0043539 (OH) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Abdur Rehman, MDCardiovascular Disease Physician Centerville, OH NPI 1427280965
- Brian P. Schwartz, MDInterventional Cardiology Physician Centerville, OH NPI 1255315453
- Caitlin Chabut, PAPhysician Assistant Dayton, OH NPI 1588073589
- Shauna Louise Reed, PA-CMedical Physician Assistant Centerville, OH NPI 1386653756
- Todd W. Christie, PA-CPhysician Assistant Centerville, OH NPI 1831173061
Other family nurse practitioner providers in Centerville
- Brittany Renee Montgomery, CNPFamily Nurse Practitioner Centerville, OH NPI 1003523093
- Benjamin Daniel Malcolm, FNPFamily Nurse Practitioner Centerville, OH NPI 1013083229
- Kevin Carl Baker, APRN-CNPFamily Nurse Practitioner Centerville, OH NPI 1023658218
- Eric Harris, FNPFamily Nurse Practitioner Centerville, OH NPI 1033409628
- Terri M. Caputo-Jones, CRNPFamily Nurse Practitioner Centerville, OH NPI 1043367808
- Kelsey KetchumFamily Nurse Practitioner Centerville, OH NPI 1053001412
- Alysha WeeterFamily Nurse Practitioner Centerville, OH NPI 1053189407
- Lauree Beth Lawler, CNPFamily Nurse Practitioner Centerville, OH NPI 1093892903
About NPI 1700790060
Kenneth James Jackson's National Provider Identifier is 1700790060, issued on Oct 1, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Centerville, OH. The record was last updated on Oct 1, 2026.