Individual
MS. JESSICA WREN DEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, WHNP-BC
Contact information
Practice address
268 SOUTHLAND DR STE 120, LEXINGTON, KY 40503-1938
(859) 328-6410
Mailing address
268 SOUTHLAND DR STE 120, LEXINGTON, KY 40503-1938
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3014953
KY
367A00000X
Advanced Practice Midwife
09000401C
IN
367A00000X
Advanced Practice Midwife
R241288
MD
367A00000X
Advanced Practice Midwife
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
03/22/2019
Last updated
09/18/2024
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