Individual
JESSICA LYNN GARGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1210 JOHNSON BLVD STE 3, MURRAY, KY 42071-2973
(270) 759-4098
(270) 761-4131
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(270) 326-3949
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3004694
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78016318
—
KY
Enumeration date
03/11/2006
Last updated
12/02/2020
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