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JENNIE STUART MEDICAL CENTER INC NPI 1790086767


NPI Information

NPI: 1790086767
Provider Name: JENNIE STUART MEDICAL CENTER INC

Other Name: JSMC NON-PHYSICIANS GROUP

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
10755 EAGLE WAY STE 202
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 887-5640
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JENNIE STUART MEDICAL CENTER INC is a family nurse practitioner in Hopkinsville, KY. JENNIE STUART MEDICAL CENTER INC NPI is 1790086767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Jsmc Non-physicians Group.

The provider's business location address is:

10755 EAGLE WAY STE 202
HOPKINSVILLE, KY
ZIP 42240-742
Phone: (270) 887-5640

The provider's authorized official is Autumn Bailey .
The authorized official title is Director Of Pfs And Managed Care and has the following contact phone number (270) 887-0100.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 1/4/2023.


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
1363AS0400XPhysician AssistantSurgicalNo
2363L00000XNurse PractitionerNo
3363LA2200XNurse PractitionerAdult HealthNo
4363AM0700XPhysician AssistantMedicalNo
51041C0700XSocial WorkerClinicalNo
6133V00000XDietitian, RegisteredNo
7231H00000XAudiologistNo
82355A2700XSpecialist/TechnologistAudiology AssistantNo
9363A00000XPhysician AssistantNo
10363LF0000XNurse PractitionerFamilyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.