Individual
MRS. MEGAN D JARZOMKOWSKI-WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 367-3360
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 367-3360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008298
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100264430
—
KY
Enumeration date
09/15/2013
Last updated
05/05/2021
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