Individual
JESSICA A COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3487
(270) 651-9696
(270) 651-0385
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3008912
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100336280
—
KY
Enumeration date
10/07/2014
Last updated
10/26/2015
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