Individual
MS. JENNIFER RENEE' SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
401 E CHESTNUT ST UNIT 510, LOUISVILLE, KY 40202-5710
(502) 588-4740
(502) 588-9537
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016363
KY
363LF0000X
Family Nurse Practitioner
28243412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300053150
—
IN
05
—
7100751100
—
KY
Enumeration date
02/04/2021
Last updated
08/09/2021
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