SearchKentucky367500000X

Jaclyn Johanboeke, CRNA

NPI 1508176058 · on the registry since 2010

Practice

Address
10207 Springhurst Gardens Cir
Louisville, KY 40241
Phone
(502) 548-3117

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky