Individual
JAMIE L GREENERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1905 W HEBRON LN STE 206, SHEPHERDSVILLE, KY 40165-7467
(502) 957-2084
(502) 957-1058
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010544
KY
Other
Enumeration date
07/29/2016
Last updated
08/04/2020
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