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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | JACQUELINE M DAVIS · Jacqueline Davis | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 3006612 | [sources] | |||
| First name | Jacqueline | [sources] | |||
| Last name | Davis | [sources] | |||
| Middle name | M | [sources] | |||
| NPI | 1871813550 | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 1828 JEFFERSON AVENUE, LOUISVILLE, KY 40242 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States · DMS
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-jacqueline-m-davis-40242-louisville · us-medky-10097a3d5ab9e5ea45a9a8869284f09e18bc4a85For experts: raw data explorer
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| United States | Kentucky Department for Medicaid Services | - | - |