Individual
JESSICA LEANN ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1724 STATE ST, NEW ALBANY, IN 47150
(866) 460-3567
(855) 632-8329
Mailing address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-9100
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71004038A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12410885
CAQH
IN
Enumeration date
07/19/2012
Last updated
09/27/2023
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