JORDAN BROOKE FENTRESS

ELIZABETHTOWN, KY
NPI1396582441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  4026549)
Enumeration Date2024-07-15
Last Update Date2024-08-21
Business Address
JORDAN BROOKE FENTRESS CRNA
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2503
Phone number: 270-706-1212
Mailing Address
JORDAN BROOKE FENTRESS CRNA
605 FOXFIRE RD
ELIZABETHTOWN, KY 42701-9412
Phone number: 270-872-9485
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