Lucretia Davis, | |
625 Taylorsville Rd, Taylorsville, KY 40071-7798 | |
(502) 477-8838 | |
(502) 477-2273 |
Full Name | Lucretia Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 625 Taylorsville Rd, Taylorsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285269241 | NPI | - | NPPES |
RN1123437 | Other | KY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1123437 (Kentucky) | Primary |
Entity Name | Amin's Family Practice Associates , Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750307393 PECOS PAC ID: 7416842844 Enrollment ID: O20040216000969 |
Entity Name | Shc Medical Partners Of Kentucky, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
Entity Name | Strive Health Ky 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881218683 PECOS PAC ID: 4486065596 Enrollment ID: O20201120002189 |
Mailing Address | Practice Location Address |
---|---|
Lucretia Davis, 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 Ph: (502) 568-7364 | Lucretia Davis, 625 Taylorsville Rd, Taylorsville, KY 40071-7798 Ph: (502) 477-8838 |
Melody A Presley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 W Main St, Taylorsville, KY 40071 Phone: 502-477-1955 Fax: 502-477-5524 | |
Sharon S Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-584-2992 | |
Ethel Darline Luster Caldwell, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 870 Taylorsville Road, Taylorsville, KY 40071 Phone: 502-477-8888 Fax: 502-477-2300 | |
Lisa Michelle Keown, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 851 Mcintosh Dr, Taylorsville, KY 40071 Phone: 502-477-2911 | |
Rachel Weedman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-8838 Fax: 502-477-2273 | |
Betsy Ann Ramey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 W Main St, Taylorsville, KY 40071 Phone: 502-477-1955 Fax: 502-477-5524 |