Individual
DANIELLE PAULINE JAYANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 S JACKSON ST FL STREET3, LOUISVILLE, KY 40202-1622
(502) 852-5666
Mailing address
550 S JACKSON ST, 3RD FLOOR, STE. A3L15, LOUISVILLE, KY 40202-1622
(502) 852-6991
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
60745
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2022
Last updated
07/02/2025
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