Individual
PETER LESLIE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5880
(859) 578-5881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41527
AL
208600000X
Surgery Physician
Primary
60649
KY
Other
Enumeration date
04/07/2011
Last updated
07/23/2025
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