Individual
JOLYNN GAITHER-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1941 BISHOP LN STE 506, LOUISVILLE, KY 40218-1969
(502) 203-1084
(502) 371-8760
Mailing address
1941 BISHOP LN STE 506, LOUISVILLE, KY 40218-1969
(502) 203-1084
(502) 371-8760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3009994
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009994
KY
Other
Enumeration date
01/19/2016
Last updated
03/01/2025
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