Individual
MARY JO PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2406 WEST BROADWAY, JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC, LOUISVILLE, KY 40211
(502) 775-1211
(502) 775-1221
Mailing address
2406 WEST BROADWAY, JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC, LOUISVILLE, KY 40211
(502) 775-1211
(502) 775-1221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1124444
KY
363L00000X
Nurse Practitioner
Primary
3008334
KY
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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