Jeanne Herald, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Wilmore, KY
NPI 1114357563 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1114357563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3008247 (KY)
- Practice address
- 100 Veterans Dr
Wilmore, KY 40390-9775 - Phone
- (859) 858-2814
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3008247 | KY | Yes |
Addresses
Primary practice location
100 Veterans Dr
Wilmore, KY 40390-9775
Mailing address
100 Veterans Dr
Wilmore, KY 40390-9775
Phone (859) 858-2814
Other names
- Jeanne Marie Lark
Other providers in Wilmore, KY
- Anthony W Flannery
- Katherine Flynn
- Lori Ann Fugate
- Chelsea Hayes
- Healthpoint Family Care, Inc.
- Higher Health and Wellness,Inc.
- Virginia Todd Holeman
- Kimberlyn Hurst
- Laura Ellen Hylbert
- Jessamine Christian Healthcare, Inc.
All providers in Wilmore, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.