Individual
JAMIE M NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
912 WALLACE AVE, LEITCHFIELD, KY 42754-2404
(270) 259-9316
(270) 259-6571
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 259-9580
(270) 259-9582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100632280
—
KY
Enumeration date
10/21/2019
Last updated
10/30/2019
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