Individual
MARCIA JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CDE
Contact information
Practice address
110 S SALEM DR, BARDSTOWN, KY 40004-1761
(502) 350-5081
(502) 349-4745
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3003072
KY
Other
Enumeration date
11/13/2006
Last updated
08/02/2019
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