Individual
JESSICA MARIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 RING RD, ELIZABETHTOWN, KY 42701-9454
(502) 694-4820
Mailing address
PO BOX 340, ELIZABETHTOWN, KY 42702-0340
(270) 506-2730
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
1141654
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018599
KY
Other
Enumeration date
10/28/2021
Last updated
01/25/2023
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