NPI 1508474743 · live from the CMS NPI Registry
Jennifer Bivins, DNP, APRN
Nurse Practitioner, Pediatrics in Lexington, KY. National Provider Identifier 1508474743, active.
NPI record
| NPI | 1508474743 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 138 Leader Ave, Lexington, KY 40508 |
| Practice phone | 419-461-6502 |
| Mailing address | 128 Edgemoor Dr, Lexington, KY 40503 |
| Enumerated | July 14, 2020 |
| Last updated | July 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 3014086 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.