Individual
JENNIFER WAARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 PEOPLES MDW, NICHOLASVILLE, KY 40356-8900
(239) 293-1568
Mailing address
121 PEOPLES MDW, NICHOLASVILLE, KY 40356-8900
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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