Individual
MS. JONELLE EDNA DELAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
194 JESSICA WAY, STANFORD, KY 40484-8851
(606) 510-1980
Mailing address
194 JESSICA WAY, STANFORD, KY 40484-8851
(606) 510-1980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39553
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
39553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64098221
—
KY
Enumeration date
10/11/2006
Last updated
10/30/2023
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