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Individual
JAN L POWELL
Active
Individual
JAN L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
3132P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315235
ANTHEM
KY
01
—
2444695000
PASSPORT ADVANTAGE
KY
01
—
50003254
PASSPORT
KY
05
—
78006392
—
KY
Enumeration date
02/24/2006
Last updated
04/24/2015
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