Individual
JENNIFER SHAWN EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
2452 SIR BARTON WAY STE 303, LEXINGTON, KY 40509-2549
(248) 266-4200
(855) 618-6655
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 266-4200
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3016996
KY
363LG0600X
Gerontology Nurse Practitioner
4704197458
MI
Other
Enumeration date
08/01/2007
Last updated
12/26/2023
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