Individual provider · Type 1 NPI
Kenneth S. Jackson, FNP
Family Nurse Practitioner · Bruceton, TN
NPI number
1811237001
Active
Practice location
123 Maple St
Bruceton, TN 38317-1819
Fax (731) 352-4459
Mailing address
205 Hospital Dr, Suite A
Mc Kenzie, TN 38201-1649
Other practice locations
- 30810 Broad St, Bruceton, TN 38317-2028 · (731) 586-4800
- 205A Hospital Dr, Mc Kenzie, TN 38201-1649 · (731) 352-7907
- 205A Court Sq, Huntingdon, TN 38344-3710 · (731) 535-5765
- 1894 Cedar St, Mc Kenzie, TN 38201-2206 · (731) 207-6496
- 306 Highway 641 N, Camden, TN 38320-3012 · (731) 213-2344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 17382 (TN) |
Family Nurse Practitioner: Definition to come...
About NPI 1811237001
Kenneth S. Jackson, FNP's National Provider Identifier is 1811237001, issued on Feb 25, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bruceton, TN. The record was last updated on Oct 10, 2025.