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

Mr. Jackson Walter Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821883299

Mr. Jackson Walter Smith is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

780 Rose St
Lexington, KY 40536-0001
Phone: (859) 323-6161
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821883299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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