Individual
JENNA M LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-5257
Mailing address
PO BOX 950112, DEPT 52387, LOUISVILLE, KY 40295-0112
(877) 783-6257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1123439
KY
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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