Healthcare Provider Details

I. General information

NPI: 1811824295
Provider Name (Legal Business Name): NEXTGEN FAMILY HEALTH & AESTHETICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 DUDLEY AVENUE
GARRISON KY
41141
US

IV. Provider business mailing address

142 DUDLEY AVENUE
GARRISON KY
41141
US

V. Phone/Fax

Practice location:
  • Phone: 606-532-8200
  • Fax: 606-532-8201
Mailing address:
  • Phone: 606-532-8200
  • Fax: 606-532-8201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LORI ERVIN
Title or Position: OWNER
Credential: NP
Phone: 740-456-7858