Individual
JACQUELINE CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3099 HELMSDALE PL, LEXINGTON, KY 40509
(859) 258-6401
(859) 258-6438
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009317
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3009317
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100372580
—
KY
Enumeration date
10/15/2015
Last updated
08/03/2022
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