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1255874731
JESSICA NICOLE MATTINGLY
LOUISVILLE, KY
NPI
1255874731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010918)
Enumeration Date
2016-12-01
Last Update Date
2020-10-26
Business Address
JESSICA NICOLE MATTINGLY APRN
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219-3848
Phone number: 502-964-4357
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Mailing Address
JESSICA NICOLE MATTINGLY APRN
255 ANNA LEE DR
TAYLORSVILLE, KY 40071-9083
Phone number: 502-216-8827
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