Jennie Ison
Oral and Maxillofacial Pathology
3200 S University Dr
Davie
, Florida 33328-2018
Jennie Ison
Oral and Maxillofacial Pathology
3200 S University Dr
Davie
, Florida 33328-2018
(606) 287-4409
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Jennie Ison
- 1010 Main St S
- Mc Kee, KY
- Zip : 40447-7089
- Fax : (606) 287-4409
- Phone : (606) 287-7104
Second Address
- Jennie Ison
- 3200 S University Dr
- Davie, FL
- Zip : 33328-2018
- Phone : (954) 262-1761
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 9196 | KY |
National Provider Identifier
| NPI | 1427309897 |
|---|---|
| Provider Name | Jennie Ison |
| First Address | Mc Kee, KY 40447-7089 |
| Second Address | Davie, FL 33328-2018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2012 |
| Last Update Date | 22/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.