Healthcare Provider Details

I. General information

NPI: 1235522475
Provider Name (Legal Business Name): VICTORIA JEANNE NASH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST WHITNEY HENDRICKSON BLDG STE 331A
LEXINGTON KY
40536-1827
US

IV. Provider business mailing address

1720 NICHOLASVILLE RD STE 702
LEXINGTON KY
40503-1489
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5553
  • Fax: 859-323-1602
Mailing address:
  • Phone: 859-264-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number3009283
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number1116867
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number3009283
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: