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Individual

JENNIFER MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
300 BARNES RD, WILLIAMSTOWN, KY 41097-9483
(859) 824-8400
(859) 824-8444
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 824-8400
(859) 824-8444

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1084196
KY
363L00000X
Nurse Practitioner
Primary
3009418
KY

Other

Enumeration date
07/24/2015
Last updated
09/10/2018
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