Individual
JACKLYN ANNE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
Mailing address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 640-9165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2925
KY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA2925
KY
363AS0400X
Surgical Physician Assistant
PA2925
KY
Other
Enumeration date
01/14/2022
Last updated
07/05/2022
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