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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE LEIGHT REICHERT GRIMES

Active

JACQUELINE LEIGHT REICHERT GRIMES is a Family Nurse Practitioner healthcare provider located in LAKESIDE PARK, Kentucky. NPI 1548735384 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LAKESIDE PARK, KY

Registration Details

NPI Number
1548735384
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2018 (7.827296821823 yrs)
Last Updated
Oct 8, 2018
License
.023697 (OH)

Practice Information

Address
334 FARMINGTON DR
LAKESIDE PARK, KY, 410173195
Browse KY providers · Browse ZIP 41017
Phone
8594466263
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.