Most Relevant Information
Provider Data
| NPI Number: | 1003540600 |
| Provider Name: | JESSICA LEIGH FITZGERALD CASE MANAGER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2022 |
| Last Updated: | 07/11/2022 |
Provider Practice Location
235 STOKELY RD
CYNTHIANA
KY
410312104
Practice Location Phone/Fax
| Phone: | 8599545150 |
| Fax: | 8599545160 |
Provider Mailing Location
235 STOKELY RD
CYNTHIANA
KY
410312104
Provider Mailing Phone/Fax
| Phone: | 8599545150 |
| Fax: | 8599545160 |