Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 3004802 | KY |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 3004802P | KY |
NPI | 1124294053 |
---|---|
Provider Name | Mrs. Janell Figueroa Hacker |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 12/09/2018 |