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Contact Information

JACKIE A PANDEYA, APRN
950 MAIN ST.
MUNFORDVILLE, KY42765
 Phone: 270-524-1201
 Fax: 270-506-5972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACKIE A PANDEYA · (Female)

NPI Number 1447588488
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/03/2009
Last updated 09/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 3006282
  • OH License # NP-13005
  • TX License # 1129819
Hospital affiliation(s)
  • CAVERNA MEMORIAL HOSPITAL - (Critical Access)
    1501 SOUTH DIXIE STREET
    HORSE CAVE, KY 42749
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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