Individual
JESSICA MARIE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1448 SOUTH 15TH ST., LOUISVILLE, KY 40210
(502) 290-5030
(502) 290-4073
Mailing address
1448 SOUTH 15TH ST., LOUISVILLE, KY 40210
(502) 290-5030
(502) 290-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4002490
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100898730
—
KY
Enumeration date
05/16/2023
Last updated
11/02/2023
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