Individual
JONATHAN EMBRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
1211 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 298-7411
(270) 298-3824
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3009933
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009933
ADVANCED PRACTICE NURSING LICENSE
KY
Enumeration date
12/18/2015
Last updated
01/13/2022
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