Individual provider · NPI-1

Elizabeth Jean Loan, APRN

Nurse Practitioner, Family · Ashland, KY

NPI number1003434317
StatusActive
Last updated in NPPESDec 14, 2020

Details

NPI
1003434317
Entity type
Individual (NPI-1)
Name
Elizabeth Jean Loan
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 13, 2020
Certification date
Dec 14, 2020
Last updated
Dec 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family3014609KYYes
163WG0000X Registered Nurse, General Practice198028KY

Practice location

2201 Lexington Ave
Ashland, KY 41101-2843

Phone 606-408-4000

Mailing address

Po Box 1595
Ashland, KY 41105-1595

Other practice locations

4754 State Route 2070
South Shore, KY 41175-8356

Phone 606-923-9226

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