Individual
MRS. GABRIELLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1009 N MULBERRY ST, ELIZABETHTOWN, KY 42701-2036
(270) 979-7109
Mailing address
2016 CLEAR CREEK DR, BOSTON, KY 40107-8623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4014697
KY
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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