Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3015820 | KY |
NPI | 1003409202 |
---|---|
Provider Name | Lindsey Nicole Mcpherson |
First Address | Louisville, KY 40220-2797 |
Second Address | Louisville, KY 40220-2797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2021 |
Last Update Date | 18/02/2021 |