Individual
JENNIFER LYNN ULLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3939 7TH STREET RD, LOUISVILLE, KY 40216-4103
(502) 883-6800
(502) 384-2316
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
(305) 393-5989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016018
KY
363LF0000X
Family Nurse Practitioner
71011206A
IN
363LG0600X
Gerontology Nurse Practitioner
AP142506
TX
Other
Enumeration date
08/01/2019
Last updated
01/06/2026
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