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

JACQUELYN E VAN WATERS, NP-C

Active Sole Proprietor

JACQUELYN E VAN WATERS, NP-C is a Nurse Practitioner healthcare provider located in PADUCAH, Kentucky. NPI 1699211631 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PADUCAH, KY

Registration Details

NPI Number
1699211631
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2017 (9.5786264071464 yrs)
Last Updated
Jul 21, 2022
License
3011205 (KY)
Sole Proprietor
Yes

Practice Information

Address
2670 NEW HOLT RD STE C
PADUCAH, KY, 420017506
Browse KY providers · Browse ZIP 42001
Phone
2705751010
Fax
2705751007
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in PADUCAH, KY

Name Credential NPI
MRS. LISA L SPILLMAN NP 1790788420
MRS. ELIZABETH P HOLCOMB ARNP 1427012137
MRS. JEANETT S MORRIS ARNP 1508820127
KELLY D FAULKNER A.R.N.P. 1013961895
ERIN C GOTTMAN APRN 1083711667
SHARON WILCOX APRN 1801988225
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.