Doctor Name: | JENNIFER ANN COLE |
NPI Number: | 1073756284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 6002 |
Business Practice Address: | 501 Parker Pl Suite 200 La Grange, KY - 400312228 |
Business Phone Number: | 5022227144 |
Business Fax Number: | 5022226159 |
Mailing Address: | 652 Long Branch Fork Rd, TURNERS STATION |
State: | KY |
Postal Code: | 400757312 |
Phone Number: | 5027278125 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2009 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |