Thiry, Jacqueline M

Thiry, Jacqueline M is an individual health care provider with primary practice located at 218 S. Maple St. , Winchester KY 40391. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Thiry, Jacqueline M can be contacted via phone (859) 745-2861.

Contact Information

Primary practice address
218 S. Maple St. Winchester KY 40391
Phone: (859) 745-2861
Fax: (859) 745-1978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111189 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2717 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2717 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2717 Kentucky

Profile Details

NPI number 1144736679
LBN Legal business name Thiry, Jacqueline M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Nov 22nd, 2021 - about 5 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 1144736679 NPPES
Kentucky MEDICAID 7100738410

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