Individual
MICHELLE ANN JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066
(270) 251-4055
(270) 251-4059
Mailing address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4055
(270) 251-4059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007137
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100187540
—
KY
Enumeration date
09/21/2011
Last updated
05/16/2018
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