Individual
DR. JACQUELINE AGNES JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1917 S HIGHWAY 53, LA GRANGE, KY 40031-8512
(502) 225-0301
Mailing address
1917 S HIGHWAY 53, LA GRANGE, KY 40031-8512
(502) 225-0301
(502) 222-0942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2145DT
KY
Other
Enumeration date
07/05/2019
Last updated
10/01/2025
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