Jacqueline Leight Reichert Grimes
NPI #1548735384 in Lakeside Park, Kentucky
Provider Information
- NPI Number
- 1548735384
- Entity Type
- Individual
- Name
- Jacqueline Leight Reichert Grimes
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 8, 2018
- Last Updated
- Oct 8, 2018
Practice Location
- Address
- 334 FARMINGTON DR
- City
- Lakeside Park
- State
- Kentucky
- ZIP Code
- 41017-3195
- Phone
- (859) 446-6263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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