Provider Demographics
NPI:1578063780
Name:RHODES, LONNIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:LONNIE
Middle Name:
Last Name:RHODES
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 1:14807 E COLONIAL DR
Mailing Address - Street 2:STE 112
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-5122
Mailing Address - Country:US
Mailing Address - Phone:859-948-3008
Mailing Address - Fax:
Practice Address - Street 1:8820 BANKERS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4212
Practice Address - Country:US
Practice Address - Phone:859-647-9101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily