Individual
JACOB WILLIAM HARVEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Contact information
Practice address
516 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2128
(502) 648-7909
Mailing address
516 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2128
(502) 377-1406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006597
KY
363LF0000X
Family Nurse Practitioner
6597
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100136720
—
KY
Enumeration date
08/25/2010
Last updated
11/01/2024
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