Individual
JESSICA ANN MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
203 S WATER ST, LOUISA, KY 41230-1347
(606) 649-2211
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(066) 380-9386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1148438
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
113533
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017912
KY
Other
Enumeration date
08/13/2020
Last updated
05/08/2025
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