Individual
JODI MARIE MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3900 KRESGE WAY, LOUISVILLE, KY 40207-4660
(502) 899-3858
Mailing address
801 SANDNESS CT, LOUISVILLE, KY 40243-1729
(205) 405-6878
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4026500
KY
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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