# AIGNE MENTAL WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487168936
- **Authorized official:** MR. JASON DUNN APRN (MEMBER)
- **Authorized official phone:** (270) 741-3044

## Contact information

- **Practice address:** 2608 RING RD STE 107, ELIZABETHTOWN, KY 42701-7945
- **Practice address phone:** (270) 741-3044
- **Mailing address:** 1811 N DIXIE AVE STE 104-120, ELIZABETHTOWN, KY 42701-5554
- **Mailing address phone:** (270) 741-3044
- **Mailing address fax:** (502) 805-0690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3010523 | KY | Yes |

## Other

- **Enumeration date:** 11/20/2017
- **Last updated:** 03/23/2018
