Provider Demographics
NPI:1396238218
Name:FLANNERY, VANESSA (DNP, APRN)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10730 MIDLAND TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-9679
Mailing Address - Country:US
Mailing Address - Phone:606-618-0282
Mailing Address - Fax:606-618-9280
Practice Address - Street 1:10730 MIDLAND TRAIL RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-9679
Practice Address - Country:US
Practice Address - Phone:606-618-0282
Practice Address - Fax:606-618-9280
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012414363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily