Jury, Mary Joann

Jury, Mary Joann is an individual health care provider with primary practice located at 320 Ring Rd , Elizabethtown KY 42701-6777. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Jury, Mary Joann can be contacted via phone (270) 765-2605.

Contact Information

Primary practice address
320 Ring Rd Elizabethtown KY 42701-6777
Phone: (270) 765-2605
Fax: (270) 234-8572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1447457957
LBN Legal business name Jury, Mary Joann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447457957 NPPES
Kentucky MEDICAID 30605018

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