Active NPIIndividual provider

Jenna L Dismore Wrinkles, MD

Anesthesiology, Pain Medicine in Elizabethtown, Kentucky

NPI Number1780909952
Practice location
1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280
Fax
270-506-2843
Last updated
September 11, 2026

Jenna Leigh Dismore Wrinkles is an Anesthesiology, Pain Medicine based in Elizabethtown, KY. Jenna Leigh Dismore Wrinkles practices in Elizabethtown, KY and has the professional credentials of MD. The NPI Number for Jenna Leigh Dismore Wrinkles is 1780909952 and holds a License No. 01075865A (IN). The current practice location address for Jenna Leigh Dismore Wrinkles is 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 and can be reached out via phone at 270-506-3300 and via fax at 270-506-2843.

Provider Profile Details

NPI Number
1780909952
Provider Name
Jenna Leigh Dismore Wrinkles
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280
Phone Number
270-506-3300
Fax Number
270-506-2843
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2010
Last Update Date
September 11, 2026
Certification Date
September 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Zip
42701-7280
Phone Number
270-506-3300
Fax Number
270-506-2843
Elizabethtown, KY 42701Get directions →

Provider Business Mailing Address Details

Address
Po Box 21890
Belfast, ME 04915-4115
City
Belfast
State
ME
Zip
04915-4115
Phone Number
502-907-0356
Fax Number
502-919-9780

License Information

License Number (1)
01075865A
License State (1)
IN
Taxonomy (1)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (2)
47108
License State (2)
KY
Taxonomy (2)
Anesthesiology, Pain Medicine · 207LP2900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenna L Dismore Wrinkles, MD?

The NPI number of Jenna L Dismore Wrinkles, MD is 1780909952. It was assigned on March 31, 2010 and is currently active in the NPPES registry.

What is the specialty of Jenna L Dismore Wrinkles, MD?

Jenna L Dismore Wrinkles, MD is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in IN under license number 01075865A.

Where does Jenna L Dismore Wrinkles, MD practice?

The practice location is 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280. The office can be reached at 270-506-3300 (phone) or 270-506-2843 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780909952 directly on the NPPES registry website.

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