Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Family Clinic, Inc

Organization Family Medicine Physician · NPI 1205950961

Jackson Family Clinic, Inc provides Family Medicine Physician services in Jackson, Missouri. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

545 Broadridge
Jackson, MO 63755 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 243-8408
Fax: (573) 243-0445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205950961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kennett Asher — Owner · (573) 243-8408
NPI enumeratedMarch 19, 2007
Last updated in NPPESApril 29, 2008
Mailing address545 Broadridge, Jackson, MO 63755

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