Individual
JENNIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(502) 507-3617
Mailing address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(502) 507-3617
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1180976
KY
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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