Individual
MRS. MARY JANE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101 RICHMOND RD, LEXINGTON, KY 40509-1599
(859) 268-9866
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
(615) 891-5244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005493
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7100343190
MEDICAID
KY
Enumeration date
01/08/2007
Last updated
05/21/2021
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