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1710502703
JENNIFER LEA BLACKBURN
LOUISVILLE, KY
NPI
1710502703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3014608)
Enumeration Date
2020-06-15
Last Update Date
2024-11-13
Business Address
JENNIFER LEA BLACKBURN APRN
10606 HICKORY GROVE DR
LOUISVILLE, KY 40291-3776
Phone number: 502-415-2742
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Mailing Address
JENNIFER LEA BLACKBURN APRN
10606 HICKORY GROVE DR
LOUISVILLE, KY 40291-3776
Phone number: 502-415-2742
Copy
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