Healthcare Provider Details

I. General information

NPI: 1497966477
Provider Name (Legal Business Name): LEXINGTON WOMENS HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 02/14/2020
Certification Date: 02/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 NICHOLASVILLE RD. SUITE 702
LEXINGTON KY
40503-1489
US

IV. Provider business mailing address

1720 NICHOLASVILLE RD SUITE 702
LEXINGTON KY
40503-1489
US

V. Phone/Fax

Practice location:
  • Phone: 859-264-8811
  • Fax: 859-264-8822
Mailing address:
  • Phone: 859-264-8811
  • Fax: 859-264-8822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1863M
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number34331
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number StateKY
# 9
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateKY

VIII. Authorized Official

Name: DR. JENNIFER A. FUSON
Title or Position: M.D. / OWNER
Credential: M.D.
Phone: 859-264-8811