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Individual

JONATHAN WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
360 W LOUDON AVE, LEXINGTON, KY 40508-3729
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013177
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3013177
KENTUCKY BOARD OF NURSING APRN LICENSE
KY
Enumeration date
02/15/2019
Last updated
01/30/2025
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