person
Vanessa Lee Jaco, CRNP
Acute Care Nurse Practitioner in Harlan, Kentucky
NPI 1114049095

Vanessa Lee Jaco is an Acute Care Nurse Practitioner based in Harlan, KY and is specialized in Acute Care. Vanessa Lee Jaco practices in Harlan, KY and has the professional credentials of CRNP. The NPI Number for Vanessa Lee Jaco is 1114049095 and holds a License No. 1-087710 (Kentucky).

The current practice location address for Vanessa Lee Jaco is 37 Ball Park Rd, Harlan, KY and can be reached out via phone at 606-573-4520.

Location: 37 Ball Park Rd, Harlan, KY, 40831-1701
person
Provider Profile Details
NPI Number
1114049095
Provider Name
Vanessa Lee Jaco
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
37 Ball Park Rd, Harlan, KY, 40831-1701
Phone Number
606-573-4520
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112805 05 AL
51515966 01 AL BCBS
510-49323 01 AL BCBS
112809 05 AL
510-49324 01 AL BCBS
515-98704 01 AL BCBS
051553292 05 AL
112804 05 AL
112806 05 AL
510-49321 01 AL BCBS
510-49322 01 AL BCBS
510-49443 01 AL BCBS
P00015330 01 AL RAILROAD MEDICARE
112813 05 AL
112815 05 AL
institution
Provider Business Practice Location Address Details
Address
37 Ball Park Rd
City
State
Zip
40831-1701
Phone Number
606-573-4520
Fax Number
person
Provider Business Mailing Address Details
Address
37 Ball Park Rd
City
State
Zip
40831-1701
Phone Number
606-573-4520
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
1-087710 (Alabama)
Definition
Definition to come...
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