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

Jackson Physician Corp

Organization Durable Medical Equipment & Medical Supplies · NPI 1164722807

Jackson Physician Corp is a Durable Medical Equipment & Medical Supplies in Jackson, Kentucky. Licensed in Kentucky and Tennessee. Registered with an NPI since 2010.

Licensed in
KY, TN
In the registry since
2010
Specialties on file
2
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

424 Jett Dr
Jackson, KY 41339-9621
Phone: (606) 666-5354
Fax: (606) 666-4857
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (TN)
Nurse Practitioner Taxonomy 363L00000X (KY)

Record details

NPI number1164722807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director · (877) 892-9813
Other names Jackson Foot And Ankle Clinic
NPI enumeratedOctober 28, 2010
Last updated in NPPESMay 17, 2012
Mailing address424 Jett Dr, Jackson, KY 41339-9621

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