# JOAN O BOVARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053715516
- **Gender:** F
- **Credential:** APRN FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3009017 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | COA.16659-NP | OH | — |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 09/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100339070 | — | KY |