Judy Lefevers

Individual provider Active NPI Nurse Practitioner · Pineville, KY

NPI 1154460053 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154460053
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
944P (KY)
Practice address
310 S Cherry St
Pineville, KY 40977-1702
Phone
(606) 337-7046
Fax
(606) 337-8321
NPI assigned
Feb 6, 2007
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
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 944P KY Yes

Addresses

Primary practice location

310 S Cherry St
Pineville, KY 40977-1702

Mailing address

PO Box 158
Manchester Square Shopping Ctr. Room 212
Manchester, KY 40962-0158

Other providers in Pineville, KY

All providers in Pineville, KY · Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.