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JACKSON FOOT AND ANKLE CLINIC
NPI 1164722807
Durable Medical Equipment & Medical Supplies in Jackson, KY

Active since October 28, 2010
424 JETT DR, JACKSON, KY 41339(606) 666-5354(606) 666-4857 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Foot And Ankle Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON FOOT AND ANKLE CLINIC (NPI 1164722807) is a healthcare organization registered as a durable medical equipment & medical supplies in Jackson, Kentucky and active in the NPI registry since October 2010. The organization lists Debbie Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1164722807
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJACKSON PHYSICIAN CORP
Location Address424 JETT DRJackson, KY 41339-9621
Mailing Address424 Jett DrJackson, KY 41339-9621 · (606) 666-5354 · Fax (606) 666-4857
Phone(606) 666-5354
Fax(606) 666-4857
Organization SubpartNo
Authorized OfficialDebbie BrewerDirector · (877) 892-9813
Enumeration DateOctober 28, 2010
Last NPPES UpdateMay 17, 2012
✔ NPI 1164722807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedNurse PractitionerTaxonomy 363L00000X
424 JETT DR, Jackson, KY 41339
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Other Names 1

Doing Business AsJackson Foot And Ankle Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE EDWARD BURNETTE MD
Family Medicine
424 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000
REBECCA MAE HOLBROOK APRN
Nurse Practitioner (Family)
424 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6600
DR. MENDOZA'S PEDIATRIC AND ADOLSCENT
Pediatrics (Adolescent Medicine)
424 JETT DR
JACKSON, KY 41339
Breathitt County (606) 693-4800
JACKSON PHYSICIAN CORP
General Practice
424 JETT DR
JACKSON, KY 41339
Breathitt County (066) 936-4830
JACKSON HOSPITAL CORPORATION
Clinic/Center (Rural Health)
424 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6600
KENTUCKY RIVER PHYSICIAN CORPORATION
Clinic/Center (Rural Health)
424 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Physician Corp's NPI number?

The NPI number for Jackson Physician Corp is 1164722807. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is doing business as Jackson Foot And Ankle Clinic.

Where is Jackson Physician Corp located?

Jackson Physician Corp is located at 424 Jett Dr, Jackson, KY 41339. The listed phone number is (606) 666-5354.

What is Jackson Physician Corp's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jackson Physician Corp was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.