Individual
JODY COOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
325 W WALNUT ST, STE. 600, LEBANON, KY 40033-1377
(270) 699-9500
Mailing address
325 W WALNUT ST, STE. 600, LEBANON, KY 40033-1377
(270) 699-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009967
KY
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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