Individual
JEANIE MAE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 S MAIN ST, CLINTON, IN 47842-2437
(765) 505-5200
Mailing address
1228 W 700 S, DANA, IN 47847-8003
(912) 713-1124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013039A
IN
Other
Enumeration date
09/13/2022
Last updated
11/02/2023
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