Healthcare Provider Details

I. General information

NPI: 1730031337
Provider Name (Legal Business Name): JENNIFERS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5006 ATWOOD DR STE 5
RICHMOND KY
40475-8179
US

IV. Provider business mailing address

329 DYLAN CT
RICHMOND KY
40475-8176
US

V. Phone/Fax

Practice location:
  • Phone: 859-813-0290
  • Fax: 859-203-3962
Mailing address:
  • Phone: 859-813-0290
  • Fax: 859-203-3962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WILLIAMS
Title or Position: NURSE PRACTITIONER
Credential: NP-C
Phone: 859-813-0290