Provider Demographics
NPI:1124579222
Name:BILLMAN, AUGUSTINA JEWEL (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:AUGUSTINA
Middle Name:JEWEL
Last Name:BILLMAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 N EAGLE CREEK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2256
Mailing Address - Country:US
Mailing Address - Phone:859-226-0031
Mailing Address - Fax:859-226-0041
Practice Address - Street 1:161 N EAGLE CREEK DR STE 400
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2256
Practice Address - Country:US
Practice Address - Phone:859-226-0031
Practice Address - Fax:859-226-0041
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010779363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100441160Medicaid