Individual
MRS. JILL S BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005482
KY
363LF0000X
Family Nurse Practitioner
5482P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100159390
—
KY
Enumeration date
09/16/2006
Last updated
06/29/2016
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