Individual provider · Type 1 NPI
Davika Jon Kuper Mattox, APRN
Psychiatric/Mental Health Nurse Practitioner · Morehead, KY
NPI number
1013045137
Active
Practice location
321 E Main St
Morehead, KY 40351-1671
Fax (606) 783-9952
Mailing address
PO Box 790
Ashland, KY 41105-0790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1108490 (KY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 3008791 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1013045137
Davika Jon Kuper Mattox, APRN's National Provider Identifier is 1013045137, issued on Mar 1, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Morehead, KY. The record was last updated on Jan 11, 2017.