Individual provider · Type 1 NPI
Hailey Jordan Waggoner, APRN
Family Nurse Practitioner · Lexington, KY
NPI number
1194237008
Active
Practice location
800 Rose St
Lexington, KY 40536-7001
Fax (859) 257-3873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3011637 (KY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194237008
Hailey Jordan Waggoner, APRN's National Provider Identifier is 1194237008, issued on Nov 1, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lexington, KY. The record was last updated on Jul 20, 2021.