Individual provider · Type 1 NPI

Ricky Eversole Jr., APRN

Nurse Practitioner · Edgewood, KY

NPI number 1831802438 Active

Practice location

1 Medical Village Drive
Edgewood, KY 41017-3403

Call (859) 301-2000 Map

Fax (859) 301-6910

Mailing address

P.o. Box 636324
Cincinnati, OH 45263-6324

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	71014878A (IN)
Acute Care Nurse Practitioner	363LA2100X	3018133 (KY)
Nurse Practitioner Primary	363L00000X	3018133 (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 1831802438

Ricky Eversole Jr., APRN's National Provider Identifier is 1831802438, issued on Dec 29, 2022. 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.