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Organization
ASHLAND MENTAL HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization
ASHLAND MENTAL HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN MAUPIN APRN, PMHNP-BC (FOUNDER)
(606) 722-0486
Entity
Organization
Contact information
Practice address
1557 WINCHESTER AVE STE 207, ASHLAND, KY 41101-7645
(606) 722-0486
Mailing address
1557 WINCHESTER AVE STE 207, ASHLAND, KY 41101-7645
(606) 722-0486
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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