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Individual

JAKE GALAN HARPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-7426
Mailing address
440 SW SUNDANCE TRL, PORT SAINT LUCIE, FL 34953-8220
(561) 906-1619

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9452369
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
4041650
KY
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0021301
OH

Other

Enumeration date
03/02/2023
Last updated
06/24/2025
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