Individual
MRS. JESSICA BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
268 ROLLING HILLS BLVD, MONTICELLO, KY 42633-9004
(606) 753-0293
Mailing address
166 TURNER LN, MONTICELLO, KY 42633-3730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4005343
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100906400
—
KY
Enumeration date
06/02/2023
Last updated
10/12/2023
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