Organization · Type 2 NPI
Jefferson Health Primary Care PLLC
Family Nurse Practitioner · Louisville, KY
NPI number
1124955406
Active
Practice location
1500 W Jefferson St
Louisville, KY 40203
Fax (502) 365-2679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1124955406
Jefferson Health Primary Care PLLC's National Provider Identifier is 1124955406, issued on May 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Oct 8, 2026.