Search › Kentucky › 251E00000X
Shelita Jackson
NPI 1851281851 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2420 Avalon Dr
Louisville, KY 40216 - Phone
- (502) 644-0002
- Fax
- (502) 644-0002
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky