Individual
MARY JESSI MILBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3040 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7125
(270) 370-1240
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4042567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167892
RN
KY
01
—
4042567
APRN
KY
Enumeration date
06/23/2025
Last updated
06/28/2025
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