JACQUELYN E VAN WATERS

PADUCAH, KY
NPI1699211631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3011205)
Enumeration Date2017-01-15
Last Update Date2022-07-21
Business Address
-- JACQUELYN E VAN WATERS NP-C
2670 NEW HOLT RD STE C
PADUCAH, KY 42001-7506
Phone number: 270-575-1010
Mailing Address
-- JACQUELYN E VAN WATERS NP-C
607 MINTER RD
SYMSONIA, KY 42082-9402
Phone number: 270-703-9095
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