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Individual
JACOB DOUGLAS HENRY
Active
Individual
JACOB DOUGLAS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4023612
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
4023612
KY
363LF0000X
Family Nurse Practitioner
4023612
KY
Other
Enumeration date
06/24/2024
Last updated
04/25/2025
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