Individual
MARY JEAN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1649 W. HWY 192, LONDON, KY 40741
(606) 330-0055
(606) 657-2441
Mailing address
200 ROAD TO JUSTICE, WEST LIBERTY, KY 41472-2140
(606) 743-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012318
KY
363LF0000X
Family Nurse Practitioner
Primary
3012318
KY
Other
Enumeration date
08/08/2018
Last updated
02/10/2022
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