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

Jonathan Jackson

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1164713467

Jonathan Jackson is a Mental Health Clinic/Center (Including Community Mental Health Center) in Paducah, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

425 Broadway St
Paducah, KY 42001-0713
Phone: (270) 444-3620
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1164713467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2011
Last updated in NPPESApril 21, 2011
Mailing address425 Broadway St, Paducah, KY 42001-0713

Other providers in Paducah