Provider Demographics
NPI:1225735194
Name:TRUE, JESSICA LENORE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LENORE
Last Name:TRUE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LENORE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, APRN
Mailing Address - Street 1:207 1/2 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9533
Mailing Address - Country:US
Mailing Address - Phone:859-457-7550
Mailing Address - Fax:
Practice Address - Street 1:2020 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-1912
Practice Address - Country:US
Practice Address - Phone:865-500-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3019012363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health