Individual
MRS. WENDY LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, CHANDLER MEDICAL CENTER-OB/GYN, LEXINGTON, KY 40536
(859) 257-2323
Mailing address
800 ROSE ST, CHANDLER MEDICAL CENTER-OB/GYN, LEXINGTON, KY 40536
(859) 257-2323
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41928
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41928
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
07/09/2008
Last updated
03/07/2023
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