Individual
MS. JACQUELINE KAY PARDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
165 NATCHEZ TRACE AVE, STE 205, BOWLING GREEN, KY 42103-7940
(270) 282-2024
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1062113
KY
363L00000X
Nurse Practitioner
Primary
3007074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100236830
—
KY
Enumeration date
08/04/2011
Last updated
02/13/2024
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