Healthcare Provider Details

I. General information

NPI: 1932981107
Provider Name (Legal Business Name): JANET HURLEY AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N ELM ST
HENDERSON KY
42420-2005
US

IV. Provider business mailing address

1723 NAVAJO DR
OWENSBORO KY
42301-5334
US

V. Phone/Fax

Practice location:
  • Phone: 731-394-1145
  • Fax:
Mailing address:
  • Phone: 270-993-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4010512
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: