Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SUE NETTLES, R.D.H
Active Sole ProprietorDental Hygienist · PADUCAH, KY
Registration Details
- NPI Number
- 1003212242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2014 (11.435041851888 yrs)
- Last Updated
- Nov 17, 2014
- License
-
4144 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
916 KENTUCKY AVEPADUCAH, KY, 420031955Browse KY providers · Browse ZIP 42003
- Phone
- 2704449625
- Fax
- 2705755458
- Primary Specialty
-
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.