Individual
JORDYN BOCOOK GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
230 W MAIN ST STE 102, DANVILLE, KY 40422
(859) 236-9670
Mailing address
2000 WEBSTER RD, DANVILLE, KY 40422-9068
(606) 706-1671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011996
KY
Other
Enumeration date
01/11/2018
Last updated
01/15/2024
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