Individual
JESSICA TEACHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
176669-30
WI
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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