Individual
JILL COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517-1317
(859) 554-5067
(859) 818-0324
Mailing address
PO BOX 911174, LEXINGTON, KY 40591-1174
(859) 554-5067
(859) 818-0324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100765640
—
KY
Enumeration date
09/05/2018
Last updated
09/10/2021
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