Provider Demographics
NPI:1083049720
Name:CHAPMAN, JESSICA (LPP)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LPP
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:MARKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPP
Mailing Address - Street 1:2901 PIGEON ROOST RD
Mailing Address - Street 2:
Mailing Address - City:RUSH
Mailing Address - State:KY
Mailing Address - Zip Code:41168-8132
Mailing Address - Country:US
Mailing Address - Phone:606-928-6648
Mailing Address - Fax:606-928-1056
Practice Address - Street 1:835 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7423
Practice Address - Country:US
Practice Address - Phone:606-547-4400
Practice Address - Fax:606-547-4180
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY114282103T00000X
KY0050103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist