Individual
MRS. JENNIFER LYN STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1011 PARIS RD, SUITE 341, MAYFIELD, KY 42066-3306
(270) 251-0907
(270) 251-0908
Mailing address
1011 PARIS RD, SUITE 341, MAYFIELD, KY 42066-3306
(270) 251-0907
(270) 251-0908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1098654
KY
363LF0000X
Family Nurse Practitioner
Primary
3006000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100103020
—
KY
Enumeration date
11/03/2009
Last updated
04/24/2017
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