JENNIFER SHAWN EDGAR APRN BC NPI 1013107366

NPI Information

NPI: 1013107366
Provider Name: JENNIFER SHAWN EDGAR, APRN, BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2452 SIR BARTON WAY STE 303
LEXINGTON, KY
ZIP 40509
Phone: (248) 266-4200
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Jennifer Shawn Edgar, APRN, BC is a gerontology nurse practitioner in Lexington, KY with 17 years of experience. Jennifer Shawn Edgar, APRN, BC NPI is 1013107366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2452 SIR BARTON WAY STE 303
LEXINGTON, KY
ZIP 40509-549
Phone: (248) 266-4200
Fax: (855) 618-6655

The NPI 1013107366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 12/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	4704197458	MICHIGAN	No
2	363LG0600X	Nurse Practitioner	Gerontology	3016996	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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