Healthcare Provider Details

I. General information

NPI: 1649611674
Provider Name (Legal Business Name): ROHAN ALEXANDER MSN APRN FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 12/21/2025
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 QUINN DR
LOUISVILLE KY
40216-2943
US

IV. Provider business mailing address

12201 BLUEGRASS PKWY
LOUISVILLE KY
40299-2361
US

V. Phone/Fax

Practice location:
  • Phone: 502-448-5850
  • Fax: 502-448-9562
Mailing address:
  • Phone: 502-568-7364
  • Fax: 502-568-7136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3008152
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3008152
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: