Davis, Justin William

Davis, Justin William is an individual health care provider with primary practice located at 110 W John Rowan Blvd , Bardstown KY 40004-2663. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Justin William can be contacted via phone (502) 337-7409.

Contact Information

Primary practice address
110 W John Rowan Blvd Bardstown KY 40004-2663
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3013878 Kentucky

Profile Details

NPI number 1043853302
LBN Legal business name Davis, Justin William
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2019
Last updated Oct 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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