Individual
JENNIFER A BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 BRECKENRIDGE ST, OWENSBORO, KY 42303-1055
(270) 686-7744
Mailing address
1501 BRECKENRIDGE ST, OWENSBORO, KY 42303-1054
(270) 686-7747
(270) 926-9862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008566
KY
363LF0000X
Family Nurse Practitioner
Primary
3008566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497167472
—
KY
Enumeration date
05/27/2014
Last updated
07/21/2022
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