Individual
JUANISHA DE'SHA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3050 HELMSDALE PL APT 2107, LEXINGTON, KY 40509-2442
(859) 433-6418
Mailing address
3050 HELMSDALE PL APT 2107, LEXINGTON, KY 40509-2442
(859) 433-6418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11442581
KY
363LF0000X
Family Nurse Practitioner
Primary
3015229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015229
APRN LICENSE
KY
Enumeration date
02/26/2020
Last updated
01/25/2021
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