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Individual

MRS. EMILY TABOR JESSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1084 VETERANS MEMORIAL HWY, SCOTTSVILLE, KY 42164-9602
(702) 373-1232
(270) 237-3139
Mailing address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4444

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010029
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100474280
KY
Enumeration date
02/03/2016
Last updated
03/01/2023
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