Individual
JERRICA DUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6137
Mailing address
256 PINE HILL DR, JACKSON, KY 41339-9682
(606) 548-0745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017938
KY
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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