Moreland, Jennifer Marie

Moreland, Jennifer Marie is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moreland, Jennifer Marie can be contacted via phone (859) 301-2663.

Contact Information

Primary practice address
560 S Loop Rd Edgewood KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 301-0655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007212 Kentucky

Profile Details

NPI number 1689943037
LBN Legal business name Moreland, Jennifer Marie
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated May 12th, 2015 - about 9 years ago

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 1689943037 NPPES
Kentucky MEDICAID 7100206010

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