Willie Jackson, M.D.
NPI 1073754065 · Psychiatry Physician · Owensboro, KY
Willie Jackson, M.D. is a Psychiatry Physician provider in Owensboro, KY (NPI 1073754065).
Provider details
- NPI number
- 1073754065
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 601 W 2nd StBloomington, IN 47403-2317Phone: (812) 353-3450Fax: (812) 353-3451
Registry dates
- Enumerated
- 2009-03-20
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Willie Jackson's NPI number?
- Willie Jackson's National Provider Identifier (NPI) is 1073754065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Jackson's specialty?
- Willie Jackson is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Willie Jackson located?
- Willie Jackson's practice location on file with NPPES is 2211 Mayfair Dr, Owensboro, KY 42301-4568.
- What is Willie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Willie Jackson is (270) 417-7980.
- Is Willie Jackson's NPI active?
- Yes — Willie Jackson's NPI (1073754065) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.