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Individual

MRS. JENNIFER L VERTREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
11969 S DIXIE HWY, SONORA, KY 42776-9739
(270) 369-9706
Mailing address
11969 S DIXIE HWY, SONORA, KY 42776-9739
(270) 369-9706
(270) 706-1914

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008105
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207R00000X
TAXONOMY
05
64315781
KY
Enumeration date
08/07/2013
Last updated
03/24/2023
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