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JACQUELINE MARIE CAFFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3 AUDUBON PLAZA DR STE 550, LOUISVILLE, KY 40217-1376
(502) 634-3805
(502) 634-9336
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71007324A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
3010500
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001028611
ANTHEM - NIS
KY
05
201385710
IN
01
218141
SIHO - NIS
KY
01
50112972
PASSPORT - NIS
KY
05
7100414770
KY
Enumeration date
07/14/2016
Last updated
03/17/2023
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