Individual
MS. JESSICA R SASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504-3504
(859) 323-6711
Mailing address
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504-3504
(859) 323-6711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45562
KS
363LF0000X
Family Nurse Practitioner
Primary
3008355
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002100
MEDICARE - PTAN
KS
05
—
200254250A
—
KS
05
—
200254250K
—
KS
Enumeration date
01/19/2006
Last updated
06/07/2019
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