Individual
JESSICA LEIGH DECOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 SOUTH JACKSON STREET, LOUISVILLE, KY 40202
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1119402
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3008708
KY
Other
Enumeration date
04/20/2013
Last updated
05/12/2026
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