Organization · Type 2 NPI

Commonwealth of Kentucky

Psychiatric/Mental Health Nurse Practitioner · Louisville, KY

NPI number 1184547416 Active

Practice location

10510 La Grange Rd
Louisville, KY 40223-1228

Fax (502) 253-7049

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1184547416

Commonwealth of Kentucky's National Provider Identifier is 1184547416, issued on Aug 3, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Louisville, KY. The record was last updated on Aug 3, 2026.