Individual
JESSICA NICOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 HOSPITAL DR NW, CORYDON, IN 47112-1774
(812) 738-4251
Mailing address
1141 HOSPITAL DR NW, CORYDON, IN 47112-1774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009399A
IN
Other
Enumeration date
07/16/2019
Last updated
09/02/2021
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