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Individual

MRS. JENNIFER LYNN COLWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8726 US 42, FLORENCE, KY 41042
(859) 301-2663
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005603
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100077330
KY
Enumeration date
07/29/2008
Last updated
05/12/2015
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