Culver, Jaclyn M

Culver, Jaclyn M is an individual health care provider with primary practice located at 3920 S Dupont Sq Ste C, Louisville KY 40207-4615. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Culver, Jaclyn M can be contacted via phone (812) 282-3899.

Contact Information

Primary practice address
3920 S Dupont Sq Ste C Louisville KY 40207-4615
Phone: (812) 282-3899
Fax: (812) 282-4172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28193680A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 1098624 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3003956 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3003956 Kentucky

Profile Details

NPI number 1891834735
LBN Legal business name Culver, Jaclyn M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated May 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891834735 NPPES
Kentucky MEDICAID 7100069160
Kentucky Other P00895264
Kentucky Other P00685745

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