Individual
JESSICA FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2000 RING RD, ELIZABETHTOWN, KY 42701-9454
(270) 506-2730
Mailing address
27 WHIRLAWAY CT, ELIZABETHTOWN, KY 42701-9145
(270) 723-1590
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4018527
KY
Other
Enumeration date
03/28/2024
Last updated
06/26/2024
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