Individual
JACQUELINE SUE MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4280
(502) 638-4281
Mailing address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4280
(502) 638-4281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008811B
IN
Other
Enumeration date
03/03/2019
Last updated
06/28/2021
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