Individual
JESSICA MARIE STITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1031 NEW MOODY LN STE 300, LA GRANGE, KY 40031-9178
(502) 222-6008
(502) 225-9878
Mailing address
1031 NEW MOODY LN STE 300, LA GRANGE, KY 40031-9178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017917
KY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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