Individual
JESSICA LEA TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 ROSE ST, DEPARTMENT OF ANESTHESIA, LEXINGTON, KY 40536-0001
(859) 323-5956
Mailing address
3855 HIGHWAY 127 S, OWENTON, KY 40359-9047
(502) 395-1730
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
075798
KY
Other
Enumeration date
11/05/2006
Last updated
07/08/2007
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