Individual provider · Type 1 NPI

Jacquelyn E. Van Waters, NP-C

Nurse Practitioner · Paducah, KY

NPI number 1699211631 Active

Practice location

2670 New Holt Rd Ste C
Paducah, KY 42001-7506

Call (270) 575-1010 Map

Fax (270) 575-1007

Mailing address

607 Minter Rd
Symsonia, KY 42082-9402

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3011205 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699211631

Jacquelyn E. Van Waters, NP-C's National Provider Identifier is 1699211631, issued on Jan 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paducah, KY. The record was last updated on Jul 21, 2022.