Provider Demographics
NPI:1568076230
Name:DARNELL, LAKEN NICOLE (APRN)
Entity Type:Individual
Prefix:
First Name:LAKEN
Middle Name:NICOLE
Last Name:DARNELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LAKEN
Other - Middle Name:
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST STE 480W
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2403
Mailing Address - Country:US
Mailing Address - Phone:270-753-0704
Mailing Address - Fax:270-752-2852
Practice Address - Street 1:300 S 8TH ST STE 480W
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2403
Practice Address - Country:US
Practice Address - Phone:270-753-0704
Practice Address - Fax:270-752-2852
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3014988OtherSTATE LICENSE