Individual provider · Type 1 NPI

Jessica Nicole Mattingly, APRN

Family Nurse Practitioner · Louisville, KY

NPI number 1255874731 Active

Practice location

7926 Preston Hwy Ste 106
Louisville, KY 40219-3848

Fax (502) 966-5948

Mailing address

255 Anna Lee Dr
Taylorsville, KY 40071-9083

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3010918 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1255874731

Jessica Nicole Mattingly, APRN's National Provider Identifier is 1255874731, issued on Dec 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Oct 26, 2020.