Healthcare Provider Details
I. General information
NPI: 1912203522
Provider Name (Legal Business Name): LAUREN N CONNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/28/2011
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 N MAYSVILLE ST STE 200
MOUNT STERLING KY
40353-1179
US
IV. Provider business mailing address
495 FLATBUSH AVE STE C5
BROOKLYN NY
11225-3782
US
V. Phone/Fax
- Phone: 859-404-7686
- Fax: 859-498-8160
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 5005057 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 3011285 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: