Individual
JESSICA ANN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 RICKEY LN, INDEPENDENCE, KY 41051-9224
(513) 675-3103
Mailing address
729 RICKEY LN, INDEPENDENCE, KY 41051-9224
(513) 675-3103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
189040
OH
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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