Individual provider · Type 1 NPI

Jayne Bodenbach, APRN

Nurse Practitioner · Edgewood, KY

NPI number 1487925194 Active

Practice location

711 Medical Village Dr
Edgewood, KY 41017-3439

Fax (859) 331-3326

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X71013618A (IN)
Adult Health Nurse Practitioner 363LA2200XAPRN.CNP.15823 (OH)
Nurse Practitioner Primary 363L00000X3007296 (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 1487925194

Jayne Bodenbach, APRN's National Provider Identifier is 1487925194, issued on Jan 26, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Dec 19, 2025.