Individual
JESSICA RAY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-3400
(502) 588-3401
Mailing address
188 CREEKVALE DR, VINE GROVE, KY 40175-9663
(859) 539-0541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016738
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016738
KY STATE LICENSE
KY
05
—
7100773510
—
KY
Enumeration date
09/24/2021
Last updated
02/06/2024
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