Individual provider · Type 1 NPI
Kayla Jordan Pridemore
Inpatient Obstetric Registered Nurse · Jenkins, KY
NPI number
1578427670
Active
Practice location
61 Crosby Drive
Jenkins, KY 41537
Mailing address
PO Box 90
Pine Top, KY 41843-0090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Inpatient Obstetric Registered Nurse Primary | 163WX0003X | 1141181 (KY) |
Inpatient Obstetric Registered Nurse: Definition to come...
About NPI 1578427670
Kayla Jordan Pridemore's National Provider Identifier is 1578427670, issued on Dec 12, 2025. The primary taxonomy on file is Inpatient Obstetric Registered Nurse (163WX0003X), and the practice location is in Jenkins, KY. The record was last updated on Dec 12, 2025.