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
Phone: (270) 251-0907
Fax: (270) 251-0908
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629305263 | NPPES |
| Kentucky | MEDICAID | 7100103020 |
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