ELAINE B. JIVIDEN

ASHLAND, KY
NPI1881919975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  6411S)
Enumeration Date2010-03-31
Last Update Date2010-03-31
Business Address
-- ELAINE B. JIVIDEN ARNP
1000 ASHLAND DR STE 301
ASHLAND, KY 41101-7084
Phone number: 606-326-0322
Mailing Address
-- ELAINE B. JIVIDEN ARNP
PO BOX 1447
ASHLAND, KY 41105-1447
Phone number: 606-326-0322
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