Organization · Type 2 NPI

Diabetes Clinical Services, PSC

Nurse Practitioner · Crestwood, KY

NPI number 1336196997 Active

Practice location

4010 Dana Rd
Crestwood, KY 40014-9224

Mailing address

PO Box 6337
Louisville, KY 40206-0337

Other practice locations

  • 3901 Dutchmans Ln Ste 105, Louisville, KY 40207-4726 · (502) 895-2334

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1336196997

Diabetes Clinical Services, PSC's National Provider Identifier is 1336196997, issued on May 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crestwood, KY. The record was last updated on Sep 9, 2019.