Jennifer B. Jacques, DC,JD,LLM
Individual provider Active NPI Chiropractor · Louisville, KY
NPI 1366501520 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366501520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4292 (KY)
- Practice address
- 8182 Dixie Hwy
Louisville, KY 40258-1347 - Phone
- (502) 937-7000
- Fax
- (502) 937-9375
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4292 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.R. Thomas V. Jacques D.C., PSC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4292 | KY | Yes |
Addresses
Primary practice location
8182 Dixie Hwy
Louisville, KY 40258-1347
Mailing address
8182 Dixie Hwy
Louisville, KY 40258-1347
Phone (502) 937-7000
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.