JESSICA ANN MATTINGLY

LOUISVILLE, KY
NPI1134664949
Former NameJESSICA ANN SHEWMAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3010750)
Enumeration Date2017-01-03
Last Update Date2017-01-03
Business Address
-- JESSICA ANN MATTINGLY Nurse Practitioner
170 DR ARLA WAY
LOUISVILLE, KY 40229
Phone number: 502-955-8480
Mailing Address
-- JESSICA ANN MATTINGLY Nurse Practitioner
170 DR ARLA WAY
LOUISVILLE, KY 40229
Phone number: