IndividualActive
Marian Jackson
NPI 1649072679 · Attendant Care Provider · Russell Springs, KY
Provider details
- NPI number
- 1649072679
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
750 Maynard Ln
Russell Springs, KY 42642
Phone: (270) 566-5022
Approximate (ZIP-level) locationGet directions
Mailing address
750 Maynard Ln
Russell Springs, KY 42642
Registry dates
- Enumerated
- 2025-03-27
- Last updated
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.