Jennifer Shawn Edgar, APRN, BC
Nurse Practitioner, Gerontology in Lexington, KY. Individual provider (NPI-1).
NPI number1013107366
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1013107366
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Shawn Edgar
- Credential
- APRN, BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2007
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 3016996 | KY | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 4704197458 | MI |
Practice location
2452 Sir Barton Way Ste 303Lexington, KY 40509-2549
Phone 248-266-4200 · Fax 855-618-6655
Mailing address
Po Box 639295 Dept 93394Cincinnati, OH 45263-9295
Phone 248-266-4200 · Fax 855-618-6655
Other practice locations
4251 Saron Dr
Lexington, KY 40515-7005
Lexington, KY 40515-7005
Phone 517-375-4035 · Fax 734-402-0254
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All 11 Gerontology Nurse Practitioner providers in Lexington · All 17,069 providers in Lexington
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