Individual
JESSICA ELISABETH ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 N MAYSVILLE ST STE 200, MOUNT STERLING, KY 40353-1179
(859) 404-7686
Mailing address
209 N MAYSVILLE ST STE 200, MOUNT STERLING, KY 40353-1179
(859) 404-7686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52585
KY
207VX0000X
Obstetrics Physician
52585
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14499852
CAQH ID NUMBER
—
01
—
52585
KY LICENSE NUMBER
KY
Enumeration date
04/10/2015
Last updated
03/07/2023
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