JENNA LYNN BOOTHE

HAZARD, KY
NPI1720583495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3012058)
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
JENNA LYNN BOOTHE APRN
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701-2620
Phone number: 606-436-0711
Mailing Address
JENNA LYNN BOOTHE APRN
PO BOX 959
HAZARD, KY 41702-0959
Phone number: 606-436-0711