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ELIZABETH CONNER JACKSON MD
NPI 1790705135
Pediatrics - Pediatric Nephrology in Lexington, KY

Active since July 20, 2006
740 S LIMESTONE, LEXINGTON, KY 40536(859) 323-5481 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elizabeth Conner Jackson Md NPPES

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

ELIZABETH CONNER JACKSON MD (NPI 1790705135) is an individual pediatric nephrology provider in Lexington, Kentucky, licensed in Ohio (35. 082704) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790705135
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameELIZABETH CONNER JACKSONCredential: MD
Location Address740 S LIMESTONELexington, KY 40536-0001
Mailing Address3333 Burnet Ave, Urology, CchmcCincinnati, OH 45229-3026 · (513) 636-4975 · Fax (513) 636-1431
Phone(859) 323-5481
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 31, 2011
✔ NPI 1790705135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in OH · 35. 082704✔ Licensed in KY · 23556
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
740 S LIMESTONE, Lexington, KY 40536
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Other Identifiers 3

Medicaid64235567KY
Medicare ID-Type Unspecified0054366
Medicare UPINC65972

Other Providers at the Same Location NPPES 20

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

DR. ELIZABETH BROWN AUTRY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-2509
KHALID HAIKAL DO
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
MARK A ETSCHEIDT PHD
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MICHAEL HAN YOUNG MD
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5544
MR. DAVID ANTHONY BRAJUHA ATC
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Fayette County (859) 323-5533
MS. MARGARET GRACE AU MBE, MS, CGC
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-1795
ALEXANDRIA DULAY
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-8992
KITTYE R ROBERTS ARNP
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5981

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1790705135. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 740 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-5481.

What is Elizabeth Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

When was this NPI record last updated?

The NPPES record for Elizabeth Jackson was last updated on October 31, 2011. 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.