Provider Demographics
NPI:1326594847
Name:LAW, JESSICA RYAN (APRN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RYAN
Last Name:LAW
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:859-971-4695
Mailing Address - Fax:859-971-4604
Practice Address - Street 1:1700 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 1100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1431
Practice Address - Country:US
Practice Address - Phone:859-276-0414
Practice Address - Fax:859-276-3765
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2020-12-08
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Provider Licenses
StateLicense IDTaxonomies
KY3010474363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily