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Organization
THE FUNCTIONAL FAMILY PRIMARY CARE
Active
Organization
THE FUNCTIONAL FAMILY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DURHAM APRN (NURSE PRACTITIONER/OWNER)
(270) 316-0137
Entity
Organization
Contact information
Practice address
920 FREDERICA ST STE 104, OWENSBORO, KY 42301-3076
(270) 238-6468
(866) 248-7894
Mailing address
920 FREDERICA ST STE 104, OWENSBORO, KY 42301-3076
(270) 238-6468
(866) 248-7894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
05/15/2023
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