Individual
JESSICA ANN SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
529 S JACKSON ST FL 3, LOUISVILLE, KY 40202-3229
(502) 561-7220
(502) 588-9529
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016741
KY
Other
Enumeration date
02/01/2022
Last updated
03/02/2022
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