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Individual

MS. JULIANN PAIGE MATHENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, CPNP-AC

Contact information

Practice address
138 LEADER AVE SUITE 119, LEXINGTON, KY 40506-3446
(859) 323-7305
Mailing address
138 LEADER AVE, LEXINGTON, KY 40506-9983
(502) 693-0551

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3011424
KY
363LF0000X
Family Nurse Practitioner
3011424
KY

Other

Enumeration date
02/09/2009
Last updated
09/01/2020
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