Individual
JESSICA L ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
707 HOWARD ST, LEXINGTON, KY 40508-1075
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4011431
KY
363LP0200X
Pediatric Nurse Practitioner
27710
TN
Other
Enumeration date
06/22/2020
Last updated
11/17/2023
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