Individual provider · Type 1 NPI

Crystal Nicole Bohannon, APRN-NP

Nurse Practitioner · Louisville, KY

NPI number 1457738387 Active

Practice location

8111 Bardstown Rd
Louisville, KY 40291-3441

Call (502) 231-7680 Map

Fax (502) 231-8149

Mailing address

100 E Liberty St, Suite 800
Louisville, KY 40202-1434

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	3009368 (KY)

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…

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About NPI 1457738387

Crystal Nicole Bohannon, APRN-NP's National Provider Identifier is 1457738387, issued on Apr 29, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 10, 2020.