Individual
JUDITH JILL BOWLING JAGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11012391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008290
APRN LICENSE
KY
01
—
APRN11012391
STATE LICENSE
FL
Enumeration date
09/30/2013
Last updated
10/24/2022
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