Jessie, Emily Tabor

Jessie, Emily Tabor is an sole proprietor health care provider with primary practice located at 1084 Veterans Memorial Hwy , Scottsville KY 42164-9602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jessie, Emily Tabor can be contacted via phone (702) 373-1232.

Contact Information

Primary practice address
1084 Veterans Memorial Hwy Scottsville KY 42164-9602
Fax: (270) 237-3139
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3010029 Kentucky

Profile Details

NPI number 1306204490
LBN Legal business name Jessie, Emily Tabor
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2016
Last updated Mar 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306204490 NPPES
Kentucky MEDICAID 7100474280

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