Provider Demographics
NPI:1457615239
Name:JONES-LARSON, BELINDA SUE (APRN)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:SUE
Last Name:JONES-LARSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:SUE
Other - Last Name:EARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1740 NICHOLASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1431
Mailing Address - Country:US
Mailing Address - Phone:859-260-6348
Mailing Address - Fax:859-260-4343
Practice Address - Street 1:1740 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-260-6348
Practice Address - Fax:859-260-4343
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3007492OtherLICENSE