Individual
MS. JEANNE ELLEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
340 THOMAS MORE PKWY, SUITE 220, CRESTVIEW HILLS, KY 41017-5100
(859) 301-2211
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2211
(859) 301-2511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006462
KY
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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