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Individual

JANEL JENE WILLINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2950 W MARKET ST, LOUISVILLE, KY 40212-1860
(502) 801-9502
(877) 284-3296
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5089P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000627881
ANTHEM NLPCC
KY
01
108053
SIHO NLPCC
KY
01
3754966000
PASSPORT ADVANTAGE
KY
01
50026910
PASSPORT
KY
01
610978438T
HUMANA
KY
05
7100097120
KY
Enumeration date
03/25/2009
Last updated
03/04/2026
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