Cjb Health Care LLC
Nurse Practitioner, Family in Newport, KY. Organization (NPI-2).
NPI number1205401577
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1205401577
- Entity type
- Organization (NPI-2)
- Legal business name
- Cjb Health Care LLC
- Organization subpart
- No
- Enumeration date
- May 20, 2021
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- The Clinic At Newport Drug Center (Doing Business As)
Practice location
39 W 10th StNewport, KY 41071-1444
Phone 859-620-5935
Mailing address
7926 Caledonia CtAlexandria, KY 41001-1469
Authorized official
Christopher Bush
Owner
8596205935
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