Organization
JARVIS FAMILY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE WHITING CPC, CPC-I (CREDENTIALING COORDINATOR)
(859) 539-2466
Entity
Organization
Contact information
Practice address
8134 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4677
(502) 822-3659
(502) 709-4637
Mailing address
8134 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4677
(502) 822-3659
(502) 709-4637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007742
KY
Other
Enumeration date
10/18/2016
Last updated
10/19/2016
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