JANEL JENE WILLINGHAM ARNP NPI 1609018423

NPI Information

NPI: 1609018423
Provider Name: JANEL JENE WILLINGHAM, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
901 DUPONT RD STE 100
LOUISVILLE, KY
ZIP 40207
Phone: (502) 559-1855
Get Directions

Janel Jene Willingham, ARNP is a family nurse practitioner in Louisville, KY with 16 years of experience. Janel Jene Willingham, ARNP NPI is 1609018423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 DUPONT RD STE 100
LOUISVILLE, KY
ZIP 40207-644
Phone: (502) 559-1855
Fax: (502) 394-3658

The NPI 1609018423 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2009 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5089P	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108053	OTHER	KENTUCKY	SIHO NLPCC
2	3754966000	OTHER	KENTUCKY	PASSPORT ADVANTAGE
3	7100097120	MEDICAID	KENTUCKY
4	50026910	OTHER	KENTUCKY	PASSPORT
5	000000627881	OTHER	KENTUCKY	ANTHEM NLPCC
6	610978438T	OTHER	KENTUCKY	HUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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