Individual
JESSIE ROSE THORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 E CHESTNUT ST UNIT 520, LOUISVILLE, KY 40202-5713
(502) 588-4740
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC083
KY
Other
Enumeration date
06/25/2020
Last updated
10/31/2024
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