Individual
MRS. JENNIFER HAWKINS PENTECOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, CLC
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1270
(502) 894-1321
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 975-2213
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1112785
KY
176B00000X
Midwife
4048665
KY
363L00000X
Nurse Practitioner
3012362
KY
363LF0000X
Family Nurse Practitioner
3012362
KY
363LF0000X
Family Nurse Practitioner
4048665
KY
367A00000X
Advanced Practice Midwife
Primary
3012362
KY
367A00000X
Advanced Practice Midwife
Primary
4048665
KY
Other
Enumeration date
01/12/2018
Last updated
04/02/2026
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