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Individual

JENNIFER MICHELLE ELMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
601 S FLOYD ST, SUITE 300, LOUISVILLE, KY 40202-1835
(502) 629-1515
(502) 629-1545
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003995
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200527860
IN
05
7100187300
KY
Enumeration date
08/17/2006
Last updated
04/11/2024
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