Individual
JUDY HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
94 MARIE LANGDON DR, SUITE 4, MANCHESTER, KY 40962-6353
(606) 598-7900
(606) 598-1040
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009354
KY
Other
Enumeration date
05/21/2015
Last updated
06/02/2015
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