Individual
JESSICA LORRAINE VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3001 N HURSTBOURNE PKWY, LOUISVILLE, KY 40241-2209
(502) 420-7731
Mailing address
8906 WOODEN HORSE DR, LOUISVILLE, KY 40229-6502
(502) 741-2983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1168448
KY
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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