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Individual

MRS. JENNA SIGMON MCCRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
62 MERCY CT, IRVINE, KY 40336-1331
(606) 723-5142
(606) 723-3798
Mailing address
62 MERCY CT, P.O. BOX 908, IRVINE, KY 40336-1331
(606) 723-5142
(606) 723-3798

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1222
KY

Other

Enumeration date
11/13/2009
Last updated
01/28/2010
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