Individual
JENAE KOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, APRN
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 585-9911
Mailing address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 585-9911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3017863
KY
363LF0000X
Family Nurse Practitioner
Primary
3017863
KY
Other
Enumeration date
07/10/2022
Last updated
10/12/2022
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