Organization
CAREANGEL MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKQUETTA JACKSON (OWNER)
(502) 435-8834
Entity
Organization
Contact information
Practice address
406 BLANKENBAKER PKWY STE C1, DOUGLASS HILLS, KY 40243-1881
(502) 435-8834
Mailing address
406 BLANKENBAKER PKWY STE C1, DOUGLASS HILLS, KY 40243-1881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
10/03/2024
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