=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811824295
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXTGEN FAMILY HEALTH & AESTHETICS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2026
-----------------------------------------------------
Last Update Date | 05/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 142 DUDLEY AVENUE
-----------------------------------------------------
City | GARRISON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-532-8200
-----------------------------------------------------
Fax | 606-532-8201
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 142 DUDLEY AVENUE
-----------------------------------------------------
City | GARRISON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-532-8200
-----------------------------------------------------
Fax | 606-532-8201
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LORI ERVIN
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 740-456-7858
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------