MEDICARE: J & L HEALTHCARE CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LA2100X	Acute Care Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	363L00000X	Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275520454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & L HEALTHCARE CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	2387 PROFESSIONAL HEIGHTS DR STE 180
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3013
Country	:	US
Telephone Number	:	859-967-9486
Fax Number	:	859-368-7780

Provider Business Practice Location Address
First Line	:	2387 PROFESSIONAL HEIGHTS DR STE 180
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3013
Country	:	US
Telephone Number	:	859-967-9486
Fax Number	:	859-368-7780

Authorized Official
Title or Position	:	MEMBER
Name	:	MS. LORI ANN WAGNER
Credential	:	APRN
Telephone Number	:	859-797-5558

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	08/30/2022

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Directions to “J & L HEALTHCARE CONSULTANTS LLC ” Practice Location

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