JENNIFER OBANNON

LOUISA, KY
NPI1740933324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KY  3017386)
Enumeration Date2022-02-02
Last Update Date2023-11-01
Business Address
JENNIFER OBANNON APRN
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JENNIFER OBANNON APRN
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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