Individual provider · Type 1 NPI

Jasmaine Theobald, APRN

Family Nurse Practitioner · Paducah, KY

NPI number 1346624962 Active

Practice location

2601 Kentucky Ave, Suite 103
Paducah, KY 42003-3817

Call (270) 415-4860 Map

Fax (270) 415-4862

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176

Other practice locations

  • 4754 US Highway 62, Calvert City, KY 42029-8456 · (270) 415-7780
  • 543 Powell Ln, Benton, KY 42025-5366 · (270) 415-7070

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3009523 (KY)

Family Nurse Practitioner: Definition to come...

42 other providers at this address

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About NPI 1346624962

Jasmaine Theobald, APRN's National Provider Identifier is 1346624962, issued on Jul 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Paducah, KY. The record was last updated on Dec 3, 2019.