Organization
YOUR CARE MOBILE HEALTH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE NOLAND ARNP (OWNER/PROVIDER)
(606) 669-1542
Entity
Organization
Contact information
Practice address
6387 US HIGHWAY 150 E, STANFORD, KY 40484-9748
(606) 669-1542
Mailing address
6387 US HIGHWAY 150 E, STANFORD, KY 40484-9748
(606) 669-1542
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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