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

Mr. Cleve Edward Jackson II, APRNFNP-C

Individual provider Family Nurse Practitioner · NPI 1093666190

Mr. Cleve Edward Jackson II, APRNFNP-C is a Nurse Practitioner in Louisa, Kentucky. Qualified in 2025, 1 year ago. Practices with Three Rivers Medical Clinics Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2026

Practice location Address checks out

23 A St Ste B
Louisa, KY 41230-6001
Phone: (606) 638-4504
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4051767 (KY)

Record details

NPI number1093666190
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNFNP-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Three Rivers Medical Clinics Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Louisa