Individual
JERJUANA MERIWETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1700 CARGO CT, LOUISVILLE, KY 40299-1938
(502) 749-6764
Mailing address
5601 CHARIOT RUN DR UNIT 104, LOUISVILLE, KY 40272-4084
(502) 813-0642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2053657
KY
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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