Individual
ARIEL JADE MUJAKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 7TH AVE, BOWLING GREEN, KY 42101-6921
(270) 846-4800
(270) 846-4828
Mailing address
615 7TH AVE, BOWLING GREEN, KY 42101-6921
(270) 846-4800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013210
KY
363LF0000X
Family Nurse Practitioner
Primary
3013210
KY
363LP2300X
Primary Care Nurse Practitioner
3013210
KY
Other
Enumeration date
04/05/2019
Last updated
02/15/2024
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