Individual
DR. JENNIFER ELLEN STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 S 3RD ST, SUITE A, DANVILLE, KY 40422-2016
(859) 236-7712
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11982653
CAQH
—
05
—
7100078700
—
KY
Enumeration date
11/13/2007
Last updated
06/16/2023
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