Provider Demographics
NPI:1902999329
Name:KOVACS, JEAN JESSIE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:JESSIE
Last Name:KOVACS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 PUMPHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-4931
Mailing Address - Country:US
Mailing Address - Phone:606-679-5299
Mailing Address - Fax:
Practice Address - Street 1:110 HARDIN LN STE 9
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3818
Practice Address - Country:US
Practice Address - Phone:606-679-7317
Practice Address - Fax:606-679-0139
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4962P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily