Individual
MS. JAN DE MOISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, MBA
Contact information
Practice address
7370 TURFWAY RD, STE 350, FLORENCE, KY 41042
(859) 212-4889
(859) 212-4890
Mailing address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1038342
KY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
5238P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038342
KY BD OF LIC
KY
Enumeration date
10/16/2007
Last updated
10/16/2007
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