Individual
MR. JASON LIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
290 ASHTON CT, BOWLING GREEN, KY 42104-8597
(270) 381-0047
Mailing address
290 ASHTON CT, BOWLING GREEN, KY 42104-8597
(270) 381-0047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4045655
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4045655
LICENSE
KY
Enumeration date
08/30/2025
Last updated
12/15/2025
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