Individual
JASON CHAD SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1200 BRECKENRIDGE STREET, OWENSBORO, KY 42303-1090
(270) 683-7553
(270) 926-4801
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 684-0028
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4263P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78011848
—
KY
Enumeration date
07/05/2006
Last updated
02/15/2022
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