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Individual
JENNIFER MYERS
Active
Individual
JENNIFER MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3317P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355401
ANTHEM
KY
05
—
78014115
—
KY
Enumeration date
08/13/2006
Last updated
07/08/2007
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