Lacey Jaye Thurman
Nurse Practitioner in Hopkinsville, KY. Individual provider (NPI-1).
NPI number1558097923
StatusActive
Last updated in NPPESMay 9, 2025
Details
- NPI
- 1558097923
- Entity type
- Individual (NPI-1)
- Name
- Lacey Jaye Thurman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2022
- Certification date
- May 9, 2025
- Last updated
- May 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3018129 | KY | Yes |
| 363LF0000X | Nurse Practitioner, Family | 3018129 | KY |
Practice location
500 Clinic DrHopkinsville, KY 42240-4991
Phone 270-707-3329 · Fax 270-707-3374
Mailing address
500 Clinic DrHopkinsville, KY 42240-4991
Phone 270-707-3374 · Fax 270-707-3374
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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