Provider Demographics
NPI:1811507734
Name:JORETTE, ANGELA DUCKWORTH (DR)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DUCKWORTH
Last Name:JORETTE
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1300 ANDERSON CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-8022
Mailing Address - Country:US
Mailing Address - Phone:502-859-1772
Mailing Address - Fax:502-859-5921
Practice Address - Street 1:1300 ANDERSON CROSSING DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-8022
Practice Address - Country:US
Practice Address - Phone:502-859-1772
Practice Address - Fax:502-859-5921
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY98781835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist