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Individual

JENNIFER BARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
420 N LORETTO RD, LEBANON, KY 40033-1628
(270) 321-4480
Mailing address
312 W HIGH ST, LEBANON, KY 40033-1428
(270) 692-9559

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012623
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012623
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3012623
KY BOARD OF NURSING
KY
Enumeration date
08/28/2018
Last updated
03/12/2020
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