Jacquelyn Eve Van Waters (NPI# 1699211631, PAC ID# 6305113804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699211631 |
| PAC ID by PECOS | 6305113804 |
| Professional Enrollment ID | I20170605002986 |
| Full Name | Jacquelyn Eve Van Waters |
| Organization Legal Name | CECIL CLINIC, PLLC |
| Address |
2670 New Holt Rd Suite C Paducah KY 42001-7506 |
| Phone Number | 27057510104 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173774395 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180104 | BAPTIST HEALTH PADUCAH |
| Address | Phone | Organization |
|---|---|---|
| 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 | 27057510104 | CECIL CLINIC, PLLC |
| Organization Legal Name | CECIL CLINIC, PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn R Cecil | Pediatric Medicine | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| Eva M Lock | Nurse Practitioner | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| John T Cecil | Pediatric Medicine | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| Natalie B Brenningmeyer | Nurse Practitioner | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| Street Address |
2670 NEW HOLT RD SUITE C |
| City | PADUCAH |
| State | KY |
| Zip | 42001-7506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn R Cecil | Pediatric Medicine | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| Eva M Lock | Nurse Practitioner | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| John T Cecil | Pediatric Medicine | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| Natalie B Brenningmeyer | Nurse Practitioner | Cecil Clinic, Pllc | 2670 New Holt Rd, Suite C, Paducah, KY 42001-7506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duncan E Darnell | Psychiatry | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Sondra A Jones | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Devin Michael Lewis | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 103, Paducah, KY 42001-0713 |
| Craig D Keene | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Leah E Fondaw | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Pamela G Owen | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Fumiko Hattori | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Ronnie Edward Golden | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Elizabeth A Fleming | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Kiandra K Hebert | Psychologist, Clinical | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 102, Paducah, KY 42001-0713 |
| Find all physicians in zip 42001 | |||
| City | PADUCAH |
| Zip Code | 42001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PADUCAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacquelyn Eve Van Waters.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.