Story, Jennifer Lyn

Story, Jennifer Lyn is an individual health care provider with primary practice located at 1011 Paris Rd Suite 341, Mayfield KY 42066-3306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Story, Jennifer Lyn can be contacted via phone (270) 251-0907.

Contact Information

Primary practice address
1011 Paris Rd Suite 341 Mayfield KY 42066-3306
Fax: (270) 251-0908
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006000 Kentucky
Nursing Service Providers / Registered Nurse 163W00000X 1098654 Kentucky

Profile Details

NPI number 1629305263
LBN Legal business name Story, Jennifer Lyn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Apr 24th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629305263 NPPES
Kentucky MEDICAID 7100103020

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