REJUVE MED SPA PLLC NPI 1265748818

NPI Information

  • NPI: 1265748818
  • Provider Name: REJUVE MED SPA PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: REJUVE MEDICAL CLINIC
  • Address: 630 EASTERN BYPASS
    SUITE A
    RICHMOND, KY
    ZIP 40475
  • Phone: (859) 353-5570

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NPI Details

REJUVE MED SPA PLLC is a family nurse practitioner in Richmond, KY. REJUVE MED SPA PLLC NPI is 1265748818. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rejuve Medical Clinic.

The provider's business location address is:

630 EASTERN BYPASS
SUITE A
RICHMOND, KY
ZIP 40475-330
Phone: (859) 353-5570
Fax: (859) 353-5934

The provider's authorized official is Jody Johnson .
The authorized official title is Owner/partner and has the following contact phone number (859) 353-5570.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 12/20/2010.

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
1363LF0000XNurse PractitionerFamily3528PKENTUCKYYes

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: 11/21/2025

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