Individual provider · Type 1 NPI

Jessica Ann Mattingly, NURSE PRACTITIONER

Family Nurse Practitioner · Louisville, KY

NPI number 1134664949 Active

Practice location

170 Dr Arla Way
Louisville, KY 40229

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	3010750 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1134664949

Jessica Ann Mattingly, NURSE PRACTITIONER's National Provider Identifier is 1134664949, issued on Jan 3, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Jan 3, 2017.