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Jasmaine Theobald, APRN
Family Nurse Practitioner in Paducah, Kentucky
NPI 1346624962

Jasmaine Theobald is a Family Nurse Practitioner based in Louisville, KY and is specialized in Family. Jasmaine Theobald practices in Paducah, KY and has the professional credentials of APRN. The NPI Number for Jasmaine Theobald is 1346624962 and holds a License No. 3009523 (Kentucky).

The current practice location address for Jasmaine Theobald is 2601 Kentucky Ave, Paducah, KY and can be reached out via phone at 270-415-4860 and via fax at 270-415-4862.

Location: 2601 Kentucky Ave, Paducah, KY, 40223-5176
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Provider Profile Details
NPI Number
1346624962
Provider Name
Jasmaine Theobald
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2601 Kentucky Ave, Paducah, KY, 40223-5176
Phone Number
270-415-4860
Fax Number
270-415-4862
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100390020 05 KS
institution
Provider Business Practice Location Address Details
Address
2601 Kentucky Ave
City
State
Zip
42003-3817
Phone Number
270-415-4860
Fax Number
270-415-4862
person
Provider Business Mailing Address Details
Address
2601 Kentucky Ave
City
State
Zip
42003-3817
Phone Number
270-415-4860
Fax Number
270-415-4862
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3009523 (Kentucky)
Definition
Definition to come...
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