Jennifer Sue Nettles
Dental Hygienist
916 Kentucky Ave
Paducah
, Kentucky 42003-1955
Jennifer Sue Nettles
Dental Hygienist
916 Kentucky Ave
Paducah
, Kentucky 42003-1955
(270) 575-5458
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Jennifer Sue Nettles
- 916 Kentucky Ave
- Paducah, KY
- Zip : 42003-1955
- Fax : (270) 575-5458
- Phone : (270) 444-9625
Second Address
- Jennifer Sue Nettles
- 916 Kentucky Ave
- Paducah, KY
- Zip : 42003-1955
- Fax : (270) 575-5458
- Phone : (270) 444-9625
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 4144 | KY |
National Provider Identifier
| NPI | 1003212242 |
|---|---|
| Provider Name | Jennifer Sue Nettles |
| First Address | Paducah, KY 42003-1955 |
| Second Address | Paducah, KY 42003-1955 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2014 |
| Last Update Date | 17/11/2014 |
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.