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

Jackson Peg Tube Stands

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1740559988

Jackson Peg Tube Stands is a Parenteral & Enteral Nutrition Supplies (DME) in Louisa, Kentucky. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

322 S Jefferson St
Louisa, KY 41230-1316
Phone: (606) 638-3234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary) Taxonomy 332BP3500X

Record details

NPI number1740559988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jackson — President · (606) 638-3234
NPI enumeratedDecember 16, 2011
Last updated in NPPESDecember 16, 2011
Mailing address322 S Jefferson St, Louisa, KY 41230-1316

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