Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Irvin Killman, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124887534

Jack Irvin Killman, PMHNP-BC is a Nurse Practitioner in Bowling Green, Kentucky. Qualified in 2023, 3 years ago. Practices with River Region Psychiatry Associates, LLC, a 115-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone: (270) 901-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4036621 (KY)

Record details

NPI number1124887534
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice River Region Psychiatry Associates, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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