Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 3007060 | KY |
NPI | 1003193129 |
---|---|
Provider Name | Jasmine Howard |
First Address | Lexington, KY 40536-0294 |
Second Address | Lexington, KY 40536-0294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2011 |
Last Update Date | 03/11/2011 |