Individual
JERRI L MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165-6009
(502) 589-8600
(502) 267-0662
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 287-0662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009543
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71005617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100353660
—
KY
Enumeration date
07/13/2015
Last updated
01/25/2023
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