Healthcare Provider Details

I. General information

NPI: 1396182119
Provider Name (Legal Business Name): CAROL JEAN NAPIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MEMORIAL DR STE 3
MANCHESTER KY
40962-9157
US

IV. Provider business mailing address

515 MEMORIAL DR STE 3
MANCHESTER KY
40962-9157
US

V. Phone/Fax

Practice location:
  • Phone: 606-599-0864
  • Fax: 606-599-0869
Mailing address:
  • Phone: 606-599-0864
  • Fax: 606-599-0869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3008076
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008076
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: