Provider Demographics
NPI:1033286232
Name:DURBIN, JODI CECILE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:CECILE
Last Name:DURBIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S LIMESTONE ST
Mailing Address - Street 2:UKHC UNIVERSITY HEALTH SERVICE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0582
Mailing Address - Country:US
Mailing Address - Phone:859-323-5823
Mailing Address - Fax:859-323-1119
Practice Address - Street 1:830 S LIMESTONE ST
Practice Address - Street 2:UKHC UNIVERSITY HEALTH SERVICE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0582
Practice Address - Country:US
Practice Address - Phone:859-323-5823
Practice Address - Fax:859-323-1119
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005063363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000517350OtherBCBS-BSMC
KY000000507077OtherBCBS-EBMC
KY000000517351OtherBCBS-MMC
KY000000507077OtherBCBS-AMC
KY7100003030Medicaid
KY0736411Medicare PIN
KY0076919Medicare PIN
KY000000507077OtherBCBS-AMC
KY000000517350OtherBCBS-BSMC
KY000000507077OtherBCBS-EBMC