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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235833757

Dr. Blake Ballard Jackson, MD is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Rose St Mn 275
Lexington, KY 40536-0293
Phone: (859) 373-6162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235833757
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

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