Individual
MAIRIN JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
506 EXECUTIVE PARK, LOUISVILLE, KY 40207-4205
(502) 822-6603
(502) 747-7071
Mailing address
506 EXECUTIVE PARK, LOUISVILLE, KY 40207-4205
(502) 822-6603
(502) 747-7071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300082585
—
IN
05
—
7101019140
—
KY
Enumeration date
07/25/2011
Last updated
05/13/2025
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