Pence, Edna Jean

Pence, Edna Jean is an individual health care provider with primary practice located at 1115 Woodland Dr , Elizabethtown KY 42701-2749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Pence, Edna Jean can be contacted via phone (270) 769-5963.

Contact Information

Primary practice address
1115 Woodland Dr Elizabethtown KY 42701-2749
Phone: (270) 769-5963
Fax: (270) 769-9051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 386M Kentucky

Profile Details

NPI number 1073616017
LBN Legal business name Pence, Edna Jean
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1073616017 NPPES
Kentucky MEDICAID 78000510

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