Individual
MARY MICHELLE FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP-BC
Contact information
Practice address
4010 DUPONT CIR STE 419, LOUISVILLE, KY 40207-4837
(502) 409-6993
Mailing address
202 RUTH LN, BARDSTOWN, KY 40004-9083
(502) 403-4491
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015304
KY
Other
Enumeration date
02/04/2021
Last updated
08/15/2024
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