# JENNIE KAYE BOURNE

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

## Provider details

- **NPI number:** 1568457398
- **Gender:** F
- **Credential:** MSN, RN, ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 3005174 | KY | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 08/03/2023