Individual
JACQUELINE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2400 EASTPOINT PKWY STE 410, LOUISVILLE, KY 40223-4154
(502) 253-6625
(502) 253-6629
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008879
KY
Other
Enumeration date
10/22/2014
Last updated
12/11/2020
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