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Individual
SUSAN D JEWELL
Active
Individual
SUSAN D JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003470
KY
363LF0000X
Family Nurse Practitioner
71001152A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000651171
ANTHEM - NICC
KY
01
—
112515
SIHO - NICC
KY
05
—
200351560
—
IN
05
—
78013067
—
KY
Enumeration date
06/21/2006
Last updated
12/04/2020
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