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Individual
JASON A. GREGG
Active
Individual
JASON A. GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, DNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003252
KY
363LF0000X
Family Nurse Practitioner
3003252
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003252
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385272
ANTHEM
KY
05
—
3012233
—
OH
05
—
78012002
—
KY
Enumeration date
08/15/2006
Last updated
09/02/2026
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