Individual
MRS. JACLYN HALEY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4010 DUPONT CIR STE L07, LOUISVILLE, KY 40207-4812
(502) 895-6559
(502) 895-8994
Mailing address
4010 DUPONT CIR STE L07, LOUISVILLE, KY 40207-4812
(502) 895-6559
(502) 895-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3006642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100164510
—
KY
Enumeration date
02/17/2011
Last updated
08/06/2024
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