Individual
JON R JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
117 W SOUTH ST, MUNFORDVILLE, KY 42765-9084
(270) 524-7231
(270) 524-7415
Mailing address
PO BOX 579, MUNFORDVILLE, KY 42765-0579
(270) 524-7231
(270) 524-7415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012497
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14281793
CAQH
—
05
—
7100552300
—
KY
Enumeration date
07/06/2018
Last updated
11/16/2021
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