Individual
MARY JO METRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP MSN
Contact information
Practice address
571 S FLOYD ST, STE 342, LOUISVILLE, KY 40202-3818
(502) 852-8470
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1040956
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78007366
—
KY
Enumeration date
06/10/2006
Last updated
03/12/2020
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