Individual
HANNAH OLIVIA JAZDZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP
Contact information
Practice address
4001 KRESGE WAY STE 236, LOUISVILLE, KY 40207-4640
(502) 893-7372
(502) 409-4715
Mailing address
126 HALDEMAN AVE, LOUISVILLE, KY 40206-2031
(859) 704-0440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3018504
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3018504
KY
Other
Enumeration date
10/12/2022
Last updated
09/12/2023
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