Individual
JOANNE HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12450 LA GRANGE RD, LOUISVILLE, KY 40245-1901
(502) 638-4783
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006332
KY
Other
Enumeration date
04/30/2010
Last updated
04/24/2015
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