Provider Demographics
NPI:1457988040
Name:HATFIELD, JESSICA LYNN (NP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1319 PRATER FRK
Mailing Address - Street 2:
Mailing Address - City:HUEYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41640-8922
Mailing Address - Country:US
Mailing Address - Phone:606-339-8164
Mailing Address - Fax:606-358-4405
Practice Address - Street 1:5187 KY ROUTE 321
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-9114
Practice Address - Country:US
Practice Address - Phone:608-886-6388
Practice Address - Fax:606-886-7473
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3014440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily