Organization · NPI-2
1025 Health, LLC
Nurse Practitioner, Adult Health · Somerset, KY
NPI number1891303368
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1891303368
- Entity type
- Organization (NPI-2)
- Legal business name
- 1025 Health, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 21, 2020
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – |
Practice location
110 Hardin LnSomerset, KY 42503-3818
Phone 606-451-9748
Mailing address
110 Hardin LnSomerset, KY 42503-3818
Authorized official
Robert Johnson
NP
6064519748
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