Provider Demographics
NPI:1538142286
Name:DOANE, JENNIE BARRIGER (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:JENNIE
Middle Name:BARRIGER
Last Name:DOANE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4436 RIVER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6084
Mailing Address - Country:US
Mailing Address - Phone:859-323-5823
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HEALTH SERVICE
Practice Address - Street 2:740 S. LIMESTONE STREET
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1987-P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily