Healthcare Provider Details

I. General information

NPI: 1174454607
Provider Name (Legal Business Name): JENNIFER ANN PILE APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 5
HARNED KY
40144-0005
US

IV. Provider business mailing address

PO BOX 5
HARNED KY
40144-0005
US

V. Phone/Fax

Practice location:
  • Phone: 270-617-3559
  • Fax:
Mailing address:
  • Phone: 270-617-1609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number4057711
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number1128405
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: