Individual
JENNIFER MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1561 RICHMOND RD STE B, IRVINE, KY 40336-7235
(606) 717-0177
Mailing address
1561 RICHMOND RD STE B, IRVINE, KY 40336-7235
(606) 717-0177
(067) 170-1566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010614
KY
363LP0200X
Pediatric Nurse Practitioner
COA.16907-NP
OH
Other
Enumeration date
01/06/2015
Last updated
07/27/2023
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