institution
Jackson Purchase Pulmonary Medicine Pllc
Family Nurse Practitioner in Mayfield, Kentucky
NPI 1992254288

Jackson Purchase Pulmonary Medicine Pllc is a Family Nurse Practitioner based in Mayfield, KY and is specialized in Family. Jackson Purchase Pulmonary Medicine Pllc practices in Mayfield, KY. The NPI Number for Jackson Purchase Pulmonary Medicine Pllc is 1992254288 and holds a License No. 3010022 (Kentucky).

The current practice location address for Jackson Purchase Pulmonary Medicine Pllc is 1111 Medical Center Cir, Mayfield, KY and can be reached out via phone at 270-251-4040 and via fax at 855-430-0335.

Location: 1111 Medical Center Cir, Mayfield, KY, 42066-1194
institution
Provider Profile Details
NPI Number
1992254288
Provider Name
Jackson Purchase Pulmonary Medicine Pllc
Credential
Provider Entity Type
Organization
Address
1111 Medical Center Cir, Mayfield, KY, 42066-1194
Phone Number
270-251-4040
Fax Number
855-430-0335
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100399120 05 KY
institution
Provider Business Practice Location Address Details
Address
1111 Medical Center Cir
City
State
Zip
42066-1194
Phone Number
270-251-4040
Fax Number
855-430-0335
person
Provider Business Mailing Address Details
Address
1111 Medical Center Cir
City
State
Zip
42066-1194
Phone Number
270-251-4040
Fax Number
855-430-0335
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3010022 (Kentucky)
Definition
Definition to come...
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