Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Healthcare

Organization General Practice Physician · NPI 1639359565

Jackson Healthcare is a General Practice Physician in Shelbyville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

148 Midland Blvd
Shelbyville, KY 40065-9734
Phone: (502) 647-1958
Fax: (502) 647-1940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 18425 (KY)

Record details

NPI number1639359565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Jackson — Owner/Doctor · (502) 647-1958
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 8, 2007
Mailing address148 Midland Blvd, Shelbyville, KY 40065-9734