Individual
MRS. JACKIE A. PANDEYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
950 MAIN ST., MUNFORDVILLE, KY 42765
(270) 524-1201
(270) 506-5972
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 780-2497
(270) 783-0454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1129819
TX
363LF0000X
Family Nurse Practitioner
3006282
KY
363LF0000X
Family Nurse Practitioner
NP-13005
OH
Other
Enumeration date
12/03/2009
Last updated
09/05/2024
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