JASMAINE THEOBALD

PADUCAH, KY
NPI1346624962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3009523)
Enumeration Date2015-07-14
Last Update Date2019-12-03
Business Address
JASMAINE THEOBALD APRN
2601 KENTUCKY AVE SUITE 103
PADUCAH, KY 42003-3817
Phone number: 270-415-4860
Mailing Address
JASMAINE THEOBALD APRN
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 40223-5176
Phone number: 502-253-4900
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