Healthcare Provider Details

I. General information

NPI: 1730827908
Provider Name (Legal Business Name): ALISON DANIELLE FEESE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N LORETTO RD STE 500A
LEBANON KY
40033-1300
US

IV. Provider business mailing address

2326 TAYLOR FORD RD
COLUMBIA KY
42728-8201
US

V. Phone/Fax

Practice location:
  • Phone: 270-699-2229
  • Fax:
Mailing address:
  • Phone: 270-634-7725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number3017799
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3017799
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: