IndividualActive
Jorge Jackson, LAT ATC
NPI 1437798261 · Sports Medicine (Orthopaedic Surgery) Physician · Owensboro, KY
Provider details
- NPI number
- 1437798261
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LAT ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2000034178 (KY)
Mailing address
2831 New Hartford Rd.
Owensboro, KY 42303
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.