Individual
JESSICA KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 E VAN TREES ST, WASHINGTON, IN 47501-2943
(812) 617-6005
(812) 286-5009
Mailing address
102 E VAN TREES ST, WASHINGTON, IN 47501-2943
(812) 617-6005
(812) 286-5009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28209245A
IN
Other
Enumeration date
10/03/2018
Last updated
01/20/2023
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