Individual
CHRISTA GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10823 BLUEGRASS PKWY, JEFFERSONTOWN, KY 40299-2215
(502) 901-1136
(502) 237-6820
Mailing address
10823 BLUEGRASS PKWY, JEFFERSONTOWN, KY 40299-2215
(502) 901-1136
(502) 237-6820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008980
KY
363LF0000X
Family Nurse Practitioner
71005060A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201253430
—
IN
Enumeration date
08/15/2014
Last updated
09/27/2024
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