person
John M. Mollineaux
Family Nurse Practitioner in Ashland, Kentucky
NPI 1932416948

John M. Mollineaux is a Family Nurse Practitioner based in Ashland, KY and is specialized in Family. John M. Mollineaux practices in Ashland, KY. The NPI Number for John M. Mollineaux is 1932416948 and holds a License No. 59306 (Kentucky).

The current practice location address for John M. Mollineaux is 2245 Winchester Ave, Ashland, KY and can be reached out via phone at 606-408-2600 and via fax at 606-408-2605.

Location: 2245 Winchester Ave, Ashland, KY, 41105-1595
person
Provider Profile Details
NPI Number
1932416948
Provider Name
John M. Mollineaux
Credential
Provider Entity Type
Individual
Gender
Male
Address
2245 Winchester Ave, Ashland, KY, 41105-1595
Phone Number
606-408-2600
Fax Number
606-408-2605
Provider Enumeration Date
09/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810020137 05 WV
3131266 05 OH
7100159060 05 KY
institution
Provider Business Practice Location Address Details
Address
2245 Winchester Ave
City
State
Zip
41101-7848
Phone Number
606-408-2600
Fax Number
606-408-2605
person
Provider Business Mailing Address Details
Address
2245 Winchester Ave
City
State
Zip
41101-7848
Phone Number
606-408-2600
Fax Number
606-408-2605
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
59306 (West Virginia)
Definition
Definition to come...
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