Individual
ASHLEY FLANARY JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4754 US HIGHWAY 62, CALVERT CITY, KY 42029-8456
(270) 415-7780
(270) 415-7779
Mailing address
2605 KENTUCKY AVENUE, SUITE 306, PADUCAH, KY 42003-3802
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100374270
—
KY
Enumeration date
05/13/2014
Last updated
12/09/2020
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