Individual
MRS. JENNIFER DEE LINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
231 E CHESTNUT STREET, LOUISVILLE, KY 40202
(502) 629-6000
Mailing address
200 E CHESTNUT STREET, LOUISVILLE, KY 40202
(502) 629-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F0713686
KY
363LA2100X
Acute Care Nurse Practitioner
F0713686
KY
363LF0000X
Family Nurse Practitioner
Primary
3008187
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
F0713686
KY
Other
Enumeration date
11/04/2013
Last updated
10/23/2020
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