Individual
JESSICA MICHELLE MARSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Mailing address
913 WYNDHAM HILLS DR, LEXINGTON, KY 40514-1518
(859) 539-4653
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
3010344
KY
363LA2100X
Acute Care Nurse Practitioner
3010344
KY
363LF0000X
Family Nurse Practitioner
3010344
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
05
—
7100456600
—
KY
Enumeration date
12/03/2016
Last updated
02/22/2023
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