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

St John Neumann's Extended Hours Clinic

Organization Family Medicine Physician · NPI 1003004912

St John Neumann's Extended Hours Clinic is a Family Medicine Physician in Jackson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

1389 Highway 15 N
Jackson, KY 41339
Phone: (606) 666-4011
Fax: (606) 666-5801
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 KY24420 (KY)

Record details

NPI number1003004912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Merced — Office Manager · (606) 666-4011
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007
Mailing addressPo Box 606, Jackson, KY 41339-0606

Other providers in Jackson