NPI 1669656849 · live from the CMS NPI Registry
Jessica N B Easterling, M.D
Pediatrics in Shelbyville, KY. National Provider Identifier 1669656849, active.
NPI record
| NPI | 1669656849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 |
| Practice phone | 502-647-5468 |
| Mailing address | Po Box 776879, Chicago, IL 60677 |
| Enumerated | December 23, 2007 |
| Last updated | February 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Sports Medicine | 2080S0010X | 43516 (KY) |
| Pediatrics primary | 208000000X | 43516 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.