Individual
JENNY MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-3000
(859) 323-6700
(859) 257-1331
Mailing address
124 CROWE LN, NICHOLASVILLE, KY 40356-3000
(859) 576-6424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013012
KY
363LF0000X
Family Nurse Practitioner
Primary
3013012
KY
Other
Enumeration date
02/12/2019
Last updated
12/16/2021
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