Individual
JESSICA LYNN ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 CLINIC DR FL 6, MADISONVILLE, KY 42431-1661
(812) 477-7246
(812) 477-7240
Mailing address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8018
(812) 477-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
3014910
KY
363LF0000X
Family Nurse Practitioner
Primary
3014910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710053770
—
KY
Enumeration date
08/21/2020
Last updated
02/02/2022
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