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Individual
JESSICA ANN MAUPIN
Active
Individual
JESSICA ANN MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1148438
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
113533
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017912
KY
Other
Enumeration date
08/13/2020
Last updated
07/15/2026
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