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Individual

CHENOA JACQUELINE GASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N. CDE

Contact information

Practice address
901 WELLNESS WAY, COLUMBIA, KY 42728-1123
(270) 384-4753
(270) 384-6228
Mailing address
PO BOX 645996, CINCINNATI, OH 45264-5996
(270) 651-4444
(270) 651-4892

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY
163W00000X
Registered Nurse
172385
NC
163WD0400X
Diabetes Educator Registered Nurse
Primary
1174519
KY

Other

Enumeration date
04/22/2011
Last updated
06/08/2026
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