Individual
JENNIFER MASON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1100
Mailing address
452 GOBEL AVE, KEVIL, KY 42053-8604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011900
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100565040
—
KY
Enumeration date
09/09/2018
Last updated
06/03/2024
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