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

Dr. Jared A Jackson, PHD

Individual provider Psychologist · NPI 1902184732

Dr. Jared A Jackson, PHD is a Psychologist in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

6102 Tennessee Ave
Fort Campbell, KY 42223-5940
Phone: (909) 810-7332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1690 (AL)

Record details

NPI number1902184732
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESMay 8, 2025
Certification dateApril 28, 2025
Mailing addressBldg 6102 Tennessee, Fort Campbell, KY 42223

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