Individual
MRS. JESSICA NICOLE STORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011844
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
3011844
KY
Other
Enumeration date
02/14/2018
Last updated
10/27/2020
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