Jacquelyn E Van Waters, NP-C

NPI #1699211631 in Paducah, Kentucky

Provider Information

NPI Number
1699211631
Entity Type
Individual
Name
Jacquelyn E Van Waters, NP-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP-C
Enumeration Date
Jan 15, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
2670 NEW HOLT RD STE C
ZIP Code
42001-7506
Phone
(270) 575-1010

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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