Individual
JENNIFER R O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE, RN
Contact information
Practice address
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504-3543
(859) 323-2232
(859) 257-1078
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1087693
KY
163WD0400X
Diabetes Educator Registered Nurse
129923
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000683678
ANTHEM - NMFMS
KY
01
—
000057043X
HUMANA - NMFMS
KY
01
—
8905818
CIGNA - NMFMS
KY
Enumeration date
07/20/2010
Last updated
01/24/2024
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