Individual
DR. JESSICA N B EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
150 FRANKFORT RD STE 101, SHELBYVILLE, KY 40065-7401
(502) 647-5468
(502) 732-7136
Mailing address
PO BOX 776879, CHICAGO, IL 60677-1435
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43516
KY
2080S0010X
Pediatric Sports Medicine Physician
43516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100174360
—
KY
Enumeration date
12/23/2007
Last updated
02/14/2024
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