Healthcare Provider Details

I. General information

NPI: 1770447633
Provider Name (Legal Business Name): LORI ANN SKEENS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI ANN HERON RN

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 LEXINGTON RD
VERSAILLES KY
40383-1738
US

IV. Provider business mailing address

2050 LEXINGTON RD
VERSAILLES KY
40383-1738
US

V. Phone/Fax

Practice location:
  • Phone: 859-251-4700
  • Fax: 859-214-4571
Mailing address:
  • Phone: 859-251-4700
  • Fax: 859-214-4571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN170817
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: