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Individual

JESSICA GOETTL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3999 DUTCHMANS LN STE 2F, LOUISVILLE, KY 40207-4748
(502) 883-0227
(502) 410-0484
Mailing address
3999 DUTCHMANS LN STE 2F, LOUISVILLE, KY 40207-4748
(502) 883-0227
(502) 410-0484

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3009898
KY

Other

Enumeration date
10/27/2015
Last updated
12/09/2020
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