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NPI Code Detail

MEDICARE: JENNIFER KAY JARRETT LCSW

MEDICARE: JENNIFER KAY JARRETT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker256391KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134880123
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KAY JARRETT LCSW
Provider Business Mailing Address
First Line : PO BOX 632
Second Line :
City : WEST PADUCAH
State : KY
Zip : 42086-0632
Country : US
Telephone Number : 270-455-1972
Fax Number : 270-216-6255
Provider Business Practice Location Address
First Line : 2500 HOLT RD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-8661
Country : US
Telephone Number : 270-455-1972
Fax Number : 270-216-6255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 02/27/2023

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