Healthcare Provider Details

I. General information

NPI: 1871553859
Provider Name (Legal Business Name): CHRISTY LYNN WORTHAM MSN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 KENTUCKY AVE WESTERN BAPTIST HOSPITAL
PADUCAH KY
42001
US

IV. Provider business mailing address

700 WILFORD ST
MAYFIELD KY
42066-3026
US

V. Phone/Fax

Practice location:
  • Phone: 270-575-2180
  • Fax: 270-575-8479
Mailing address:
  • Phone: 270-251-0164
  • Fax: 270-575-8479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3003122
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3003122
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3122P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: