Individual
MRS. JACQUELYN MARGARET KOEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2670 NEW HOLT RD STE C, PADUCAH, KY 42001-7506
(270) 575-1010
Mailing address
5245 STATE ROUTE 97, MAYFIELD, KY 42066-7347
(270) 804-0872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013078
KY
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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