Jessica Tabor
Individual provider Active NPI Registered Nurse · South Shore, KY
NPI 1659299261 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1659299261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.552205 (OH)
- Practice address
- 500 Main St
South Shore, KY 41175-9560 - Phone
- (740) 876-2864
- NPI assigned
- Jul 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | RN.552205 | OH | Yes |
Addresses
Primary practice location
500 Main St
South Shore, KY 41175-9560
Mailing address
500 Main St
South Shore, KY 41175-9560
Other providers in South Shore, KY
- South Shore Family Medical Clinic
- South Shore Nursing and Rehabilitation LLC
- South Shore Physical Therapy
- Lora Stone
- Joan Marie Swal
- Cathy Sue Tackett
- Laura Tarr
- Mandy Lee West
- Dora Jo Williams
- Wright Care Home Medical Supplies,Inc.
All providers in South Shore, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.