Individual
JERI K RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-0295
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-0295
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1113513
KY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN228692
OH
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
3010172
KY
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
COA.07413-NS
OH
Other
Enumeration date
08/14/2007
Last updated
03/29/2016
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