MR. JEFFERY H EVERSOLE APRN NPI 1770801482

NPI Information

  • NPI: 1770801482
  • Provider Name: MR. JEFFERY H EVERSOLE, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2416 REGENCY ROAD
    LEXINGTON, KY
    ZIP 40503
  • Phone: (859) 278-1316

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NPI Details

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
1363L00000XNurse Practitioner3006409KENTUCKYNo
2363LF0000XNurse PractitionerFamily3006409KENTUCKYYes

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
17100128200MEDICAIDKENTUCKY
2K033413MEDICARE PINKENTUCKY

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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