Individual
JEANNE A CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
107 METKER TRL, SUITE A, STANFORD, KY 40484-1049
(606) 365-8338
(606) 365-8142
Mailing address
107 METKER TRL, SUITE A, STANFORD, KY 40484-1049
(606) 365-8338
(606) 365-8142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2918P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78005998
—
KY
Enumeration date
02/20/2007
Last updated
07/07/2014
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