Jvm Cosmetic and Wellness Spa LLC
NPI #1003483355 in Fort Thomas, Kentucky
Provider Information
- NPI Number
- 1003483355
- Entity Type
- Organization
- Organization Name
- Jvm Cosmetic and Wellness Spa LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 7, 2021
- Last Updated
- Oct 1, 2021
Practice Location
- Address
- 1501 ALEXANDRIA PIKE STE 114
- City
- Fort Thomas
- State
- Kentucky
- ZIP Code
- 41075-2561
- Phone
- (513) 833-1619
Authorized Official
- Name
- MRS. MEGAN KATHLEEN HACKER, NP
- Title
- NURSE PRACTITIONER
- Phone
- (513) 833-1619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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