Individual
MS. JACKIE C. NOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
206 S MAIN ST, CORBIN, KY 40701-1456
(606) 528-0283
(606) 528-8422
Mailing address
6387 US 150 E, STANFORD, KY 40484
(859) 749-0561
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4355P
KY
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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