Davika Jon Kuper Mattox, APRN
Nurse Practitioner, Psych/Mental Health in Morehead, KY. Individual provider (NPI-1).
NPI number1013045137
StatusActive
Last updated in NPPESJan 11, 2017
Details
- NPI
- 1013045137
- Entity type
- Individual (NPI-1)
- Name
- Davika Jon Kuper Mattox
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Jan 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 3008791 | KY | Yes |
| 163W00000X | Registered Nurse | 1108490 | KY |
Practice location
321 E Main StMorehead, KY 40351-1671
Phone 606-784-4161 · Fax 606-783-9952
Mailing address
Po Box 790Ashland, KY 41105-0790
Phone 606-329-8588 · Fax 606-329-8195
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All 12 Psychiatric/Mental Health Nurse Practitioner providers in Morehead · All 849 providers in Morehead
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