Individual
JESSICA R VANIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 282-6700
(859) 282-6760
Mailing address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 282-6700
(859) 282-6760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1103945
KY
367A00000X
Advanced Practice Midwife
Primary
3009797
KY
367A00000X
Advanced Practice Midwife
APRN.CNM.0019646
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156451
—
OH
05
—
7100407100
—
KY
01
—
Q00076709
RR MEDICARE
KY
Enumeration date
09/25/2015
Last updated
06/11/2025
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