Individual
JACKLYN ELAINE SPAGNOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CASEY COUNTY PRIMARY CARE, 187 WOLFORD AVENUE, LIBERTY, KY 42539-3278
(606) 787-8348
(606) 787-0251
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-6275
(606) 787-0251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013711
KY
Other
Enumeration date
08/13/2019
Last updated
03/20/2020
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