Individual
DANIELLE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
(270) 821-1813
(270) 821-8152
Mailing address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016511
KY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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