MEDICARE: JENNIFER LYNN ULLIMAN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71011206A	IN
2	363LF0000X	Family Nurse Practitioner	3016018	KY
3	363LG0600X	Gerontology Nurse Practitioner	AP142506	TX

General Provider Information

NPI Number	:	1083268528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN ULLIMAN FNP-C

Provider Business Mailing Address
First Line	:	1395 NW 167TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-5710
Country	:	US
Telephone Number	:	305-628-6117
Fax Number	:	305-393-5989

Provider Business Practice Location Address
First Line	:	3939 7TH STREET RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-4103
Country	:	US
Telephone Number	:	502-883-6800
Fax Number	:	502-384-2316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	01/06/2026

Similar Medicare Providers

1801811682 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

3917 7TH STREET RD
LOUISVILLE, KY
40216-4103

Practice Phone: 502-447-3393
Practice Fax: 502-448-2213

1023111762 — KENTUCKY CVS PHARMACY, L.L.C.
Practice Location Address:

3997 7TH STREET RD
LOUISVILLE, KY
40216-4103

Practice Phone: 502-448-3383
Practice Fax:

1649331752 — DR. ANUJ VINEET MORE M.D.
Practice Location Address:

3939 7TH STREET RD
LOUISVILLE, KY
40216-4103

Practice Phone: 502-883-6800
Practice Fax: 502-384-2316

1568682755 — GRETCHEN LYNNE KRATZ DMD
Practice Location Address:

3977 7TH STREET RD
LOUISVILLE, KY
40216-4103

Practice Phone: 502-447-5699
Practice Fax:

1730526864 — RICKEY ALLEN COSBY APRN
Practice Location Address:

3939 7TH STREET RD
LOUISVILLE, KY
40216-4103

Practice Phone: 502-883-6800
Practice Fax: 502-384-2316

1104220482 — MS. PAMELA E TAYLOR APRN
Practice Location Address:

3975 7TH STREET RD
LOUISVILLE, KY
40216-4103

Practice Phone: 502-825-0075
Practice Fax: 859-878-2038

Directions to “ JENNIFER LYNN ULLIMAN FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.