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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669180717

Tammy Elizabeth Jackson, PMHNP is a Nurse Practitioner in Frankfort, Kentucky. Qualified in 2022, 4 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

409 Holmes St
Frankfort, KY 40601-2209
Phone: (502) 385-0806
Fax: (502) 385-0656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2955 Shadrick Ferry Rd, Frankfort, KY 40601-9476 — (502) 330-8522

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3018653 (KY)

Record details

NPI number1669180717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedNovember 8, 2022
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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