Individual
MS. KATHERINE LEEANN JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, RN
Contact information
Practice address
1700 DECLARATION DR, INDEPENDENCE, KY 41051-8441
(859) 898-1608
Mailing address
66 DUDLEY PIKE, CRESTVIEW HILLS, KY 41017-2372
(859) 630-5851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003174
KY
363LF0000X
Family Nurse Practitioner
3174P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64208663
—
KY
Enumeration date
08/22/2006
Last updated
11/12/2020
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