LEXINGTON WOMENS HEALTH PLLC

Provider Demographics

• NPI: 1497966477
• Name: LEXINGTON WOMENS HEALTH PLLC
• Entity Type: Organization
• Organization Name: LEXINGTON WOMENS HEALTH PLLC
• Authorized Official - Title/Position: M.D. / OWNER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: JENNIFER
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: FUSON
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 859-264-8811
• Mailing Address - Street 1: 1720 NICHOLASVILLE RD
• Mailing Address - Street 2: SUITE 702
• Mailing Address - City: LEXINGTON
• Mailing Address - State: KY
• Mailing Address - Zip Code: 40503-1489
• Mailing Address - Country: US
• Mailing Address - Phone: 859-264-8811
• Mailing Address - Fax: 859-264-8822
• Practice Address - Street 1: 1720 NICHOLASVILLE RD.
• Practice Address - Street 2: SUITE 702
• Practice Address - City: LEXINGTON
• Practice Address - State: KY
• Practice Address - Zip Code: 40503-1489
• Practice Address - Country: US
• Practice Address - Phone: 859-264-8811
• Practice Address - Fax: 859-264-8822
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-05-24
• Last Update Date: 2020-02-14

Provider Licenses

State	License ID	Taxonomies
KY		207V00000X, 363A00000X, 363LX0001X
KY	34331	207VG0400X
		207VM0101X, 363AM0700X, 363L00000X, 363LW0102X
KY	1863M	367A00000X, 367A00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	367A00000X	Physician Assistants & Advanced Practice Nursing Providers	Advanced Practice Midwife		Group - Multi-Specialty
Yes	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	207VG0400X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology	Gynecology	Group - Multi-Specialty
No	207VM0101X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology	Maternal & Fetal Medicine	Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Medical	Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LW0102X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Women's Health	Group - Multi-Specialty
No	363LX0001X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Obstetrics & Gynecology	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
KY	7100219270	Medicaid
KY	7100648270	Medicaid
KY	7100225080	Medicaid
KY	7100227330	Medicaid
KY	7100644830	Medicaid
KY	7100225090	Medicaid
KY	7100227300	Medicaid
KY	7100225030	Medicaid