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Contact Information

MARY N MOSELEY JAEGER, ARNP
571 S FLOYD ST
STE 342
LOUISVILLE, KY40202-3818
 Phone: 502-852-8470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY N MOSELEY JAEGER · (Female)

NPI # 1467656876
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/12/2007
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1112372
  • KY Other 3005194 APRN
  • KY Other 1112372 NURSE'S LICENSE (RN)
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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