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1134664949
JESSICA ANN MATTINGLY
LOUISVILLE, KY
NPI
1134664949
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Former Name
JESSICA ANN SHEWMAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010750)
Enumeration Date
2017-01-03
Last Update Date
2017-01-03
Business Address
-- JESSICA ANN MATTINGLY Nurse Practitioner
170 DR ARLA WAY
LOUISVILLE, KY 40229
Phone number: 502-955-8480
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Mailing Address
-- JESSICA ANN MATTINGLY Nurse Practitioner
170 DR ARLA WAY
LOUISVILLE, KY 40229
Phone number:
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