Individual
JENNA ROSE MCDONALD HAUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP, AG-ACNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-3008
(859) 323-9057
(859) 323-9502
Mailing address
3428 OAKBROOK DR, LEXINGTON, KY 40515-1396
(859) 608-8543
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3018540
KY
363LC0200X
Critical Care Medicine Nurse Practitioner
PENDING
KY
Other
Enumeration date
09/19/2022
Last updated
11/11/2022
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