Individual
JARED NILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-3368
Mailing address
12805 CHARLES FARM CIR APT 301, LOUISVILLE, KY 40299-2678
(801) 554-8146
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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