MR. JEFFERY H EVERSOLE APRN NPI 1770801482

NPI Information

NPI: 1770801482
Provider Name: MR. JEFFERY H EVERSOLE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2416 REGENCY ROAD
LEXINGTON, KY
ZIP 40503
Phone: (859) 278-1316
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MR. Jeffery H Eversole, APRN is a family nurse practitioner in Lexington, KY. MR. Jeffery H Eversole, APRN NPI is 1770801482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2416 REGENCY ROAD
LEXINGTON, KY
ZIP 40503-954
Phone: (859) 278-1316
Fax: (859) 276-3847

The enumeration date for this NPI number is 5/6/2010 and was last updated on 11/20/2015.

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	363L00000X	Nurse Practitioner		3006409	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3006409	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	7100128200	MEDICAID	KENTUCKY
2	K033413	MEDICARE PIN	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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