Individual
JENNIFER M. WHITSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 RING RD, ELIZABETHTOWN, KY 42701-7940
(270) 234-8866
(270) 234-1355
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 234-8866
(270) 234-1355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1089102
KY
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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