Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn E Van Waters, NP-C

Individual provider Nurse Practitioner · NPI 1699211631

Jacquelyn E Van Waters, NP-C is a Nurse Practitioner in Paducah, Kentucky. Qualified in 2016, 10 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2670 New Holt Rd Ste C
Paducah, KY 42001-7506
Phone: (270) 575-1010
Fax: (270) 575-1007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3011205 (KY)

Record details

NPI number1699211631
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2017
Last updated in NPPESJuly 21, 2022
Mailing address607 Minter Rd, Symsonia, KY 42082-9402

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Paducah