Individual
MARY JUDE HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3008956
KY
363LA2100X
Acute Care Nurse Practitioner
F430246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02589408
—
NY
Enumeration date
07/30/2006
Last updated
02/08/2018
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