Proffitt, Jennifer Nicole

Proffitt, Jennifer Nicole is an individual health care provider with primary practice located at 197 Will Walker Road , Columbia KY 42728-7436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Proffitt, Jennifer Nicole can be contacted via phone (270) 384-9981.

Contact Information

Primary practice address
197 Will Walker Road Columbia KY 42728-7436
Phone: (270) 384-9981
Fax: (270) 384-9989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005691 Kentucky

Profile Details

NPI number 1760638456
LBN Legal business name Proffitt, Jennifer Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated May 12th, 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 1760638456 NPPES
Other 11883584 CAQH
MEDICAID 7100056920 CAQH

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