Basic Information
| Provider Information | |||||||||
| NPI: | 1134848948 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ENGLISH | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | APRN, FNP-C, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 562 | ||||||||
| Address2: | |||||||||
| City: | WEST PADUCAH | ||||||||
| State: | KY | ||||||||
| PostalCode: | 420860562 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1530 LONE OAK RD | ||||||||
| Address2: | |||||||||
| City: | PADUCAH | ||||||||
| State: | KY | ||||||||
| PostalCode: | 420037901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2704442444 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2022 | ||||||||
| LastUpdateDate: | 09/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 1135970 | KY | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 3018257 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.