JW Medical, L.L.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6597 Issued in KY

Legal business name

JW MEDICAL, L.L.C.

Practice address

889 Clarks LN
Louisville, KY 40217-2437

Phone

(502) 386-9390

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob William Harvey Jr., F.N.P.

Title

Owner

Phone

(502) 386-9390

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1619283454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 CLARKS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402172437",
            "telephone_number": "502-386-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 CLARKS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402172437",
            "telephone_number": "502-386-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW MEDICAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-386-9390",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.