Provider Demographics
NPI:1679242838
Name:DOYLE, CHELSEA JO (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:JO
Last Name:DOYLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SQUIRES POINTE RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-9029
Mailing Address - Country:US
Mailing Address - Phone:859-707-3720
Mailing Address - Fax:
Practice Address - Street 1:1701 NICHOLASVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1461
Practice Address - Country:US
Practice Address - Phone:859-440-2295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily