| Doctor Name: | JERI K RICHARDSON |
| NPI Number: | 1073705968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | RN228692 |
| Business Practice Address: | 611 Forest Ave Maysville, KY - 410561411 |
| Business Phone Number: | 6065644016 |
| Business Fax Number: | 6065640295 |
| Mailing Address: | 611 Forest Ave, MAYSVILLE |
| State: | KY |
| Postal Code: | 410561411 |
| Phone Number: | 6065644016 |
| Fax Number: | 6065640295 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN228692 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |