TELE NURSE PRACTITIONER PLLC NPI 1346182425

NPI Information

  • NPI: 1346182425
  • Provider Name: TELE NURSE PRACTITIONER, PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 5503 E US HIGHWAY 62
    BEAVER DAM, KY
    ZIP 42320
  • Phone: (270) 532-3170

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NPI Details

TELE NURSE PRACTITIONER, PLLC is an urgent care clinic center in Beaver Dam, KY. TELE NURSE PRACTITIONER, PLLC NPI is 1346182425. The provider is registered as an organization entity type.

The provider's business location address is:

5503 E US HIGHWAY 62
BEAVER DAM, KY
ZIP 42320-945
Phone: (270) 532-3170
Fax: (835) 777-1962

The provider's authorized official is Tina Gay Cooney .
The authorized official title is Owner/ceo and has the following contact phone number (270) 363-4458.

The enumeration date for this NPI number is 4/7/2026 and was last updated on 4/7/2026.

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
1261QU0200XClinic/CenterUrgent CareYes

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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