NPI 1265804900 · live from the CMS NPI Registry
Johnna Forman, APRN
Nurse Practitioner, Acute Care in Lexington, KY. National Provider Identifier 1265804900, active.
NPI record
| NPI | 1265804900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Acute Care 363LA2100X |
| Practice location | 800 Rose St Fl 4, Lexington, KY 40536 |
| Practice phone | 859-218-2581 |
| Mailing address | 138 Leader Ave, Rm 252, Lexington, KY 40508 |
| Enumerated | October 21, 2015 |
| Last updated | June 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 3011059 (KY) |
| Nurse Practitioner, Pediatrics, Critical Care | 363LP0222X | 3011059 (KY) |
| Nurse Practitioner, Acute Care primary | 363LA2100X | 3011059 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.