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NPI Code Detail

MEDICARE: JENNIFER DAWN SALLEE ARNP

MEDICARE: JENNIFER DAWN SALLEE ARNP
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
1363LF0000XFamily Nurse Practitioner3010908KY

General Provider Information

NPI Number : 1942755640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DAWN SALLEE ARNP
Provider Business Mailing Address
First Line : 1754 CENTER POINT RD
Second Line :
City : WHITE MILLS
State : KY
Zip : 42788-9711
Country : US
Telephone Number : 850-461-2292
Fax Number :
Provider Business Practice Location Address
First Line : 913 N DIXIE AVE
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-2503
Country : US
Telephone Number : 877-783-6287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2016
Last Update Date : 10/25/2017

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Directions to “ JENNIFER DAWN SALLEE ARNP” Practice Location

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