Individual
JESSICA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 271-9448
Mailing address
310 REMMINGTON CIR, APT B, RICHMOND, KY 40475-3255
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/06/2015
Last updated
06/21/2016
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