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

Kenneth S Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1811237001

Kenneth S Jackson, FNP is a Nurse Practitioner in Bruceton, Tennessee. Qualified in 2012, 14 years ago. Practices with McKenzie Medical Center PC, a 33-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

123 Maple St
Bruceton, TN 38317-1819
Phone: (731) 586-4800
Fax: (731) 352-4459
Show map & directions

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

Additional practice locations (5)

  • 30810 Broad St, Bruceton, TN 38317-2028 — (731) 586-4800
  • 306 Highway 641 N, Camden, TN 38320-3012 — (731) 213-2344
  • 205a Court Sq, Huntingdon, TN 38344-3710 — (731) 535-5765
  • 1894 Cedar St, Mc Kenzie, TN 38201-2206 — (731) 207-6496
  • 205a Hospital Dr, Mc Kenzie, TN 38201-1649 — (731) 352-7907

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17382 (TN)

Record details

NPI number1811237001
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 25, 2013
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice McKenzie Medical Center Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount