Jessica Bokelman
Family Doctor Family Doctor - Hospice and Palliative Medicine
1 Medical Village Dr
Edgewood
, Kentucky 41017-3403
Jessica Bokelman
Family Doctor Family Doctor - Hospice and Palliative Medicine
1 Medical Village Dr
Edgewood
, Kentucky 41017-3403
(859) 301-4601
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Jessica Bokelman
- Po Box 635283
- Cincinnati, OH
- Zip : 45263-5283
- Fax : (859) 301-4601
- Phone : (859) 301-4688
Second Address
- Jessica Bokelman
- 1 Medical Village Dr
- Edgewood, KY
- Zip : 41017-3403
- Fax : (859) 301-0515
- Phone : (859) 301-4688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 04049 | KY |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 04049 | KY |
National Provider Identifier
| NPI | 1760817142 |
|---|---|
| Provider Name | Jessica Bokelman |
| First Address | Cincinnati, OH 45263-5283 |
| Second Address | Edgewood, KY 41017-3403 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2013 |
| Last Update Date | 15/11/2019 |
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.