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

Jackson Physician Corp

Organization Family Medicine Physician · NPI 1134261167

Jackson Physician Corp is a Family Medicine Physician in Booneville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Hwy 11 S
Booneville, KY 41314-9621
Phone: (606) 693-0531
Fax: (606) 693-0535
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02940 (KY)

Record details

NPI number1134261167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loretta Campbell — Clinic Coordinator · (606) 593-5395
Other names Booneville Medical Clinic
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressHwy 11 South, Booneville, KY 41317

Other providers in Booneville