Individual
JENNIFER CULLINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9509 US HIGHWAY 42 STE 108, PROSPECT, KY 40059-9291
(502) 654-7335
(502) 654-7038
Mailing address
9509 US HIGHWAY 42 STE 108, PROSPECT, KY 40059-9291
(502) 727-3588
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3011865
KY
Other
Enumeration date
11/01/2017
Last updated
08/28/2019
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