Individual
JASON SCOTT SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
503 DEPOT ROAD, PAINTSVILLE, KY 41240
(606) 793-5077
Mailing address
503 DEPOT ROAD, PAINTSVILLE, KY 41240
(606) 793-5077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010744
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100442040
—
KY
Enumeration date
11/12/2016
Last updated
03/27/2024
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