Provider Demographics
NPI:1770968695
Name:OHARA, JANET (APRN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:OHARA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:OHARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:3709 RED RIVER DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3351
Mailing Address - Country:US
Mailing Address - Phone:859-229-8322
Mailing Address - Fax:
Practice Address - Street 1:140 WHITTINGTON PKWY
Practice Address - Street 2:100
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4930
Practice Address - Country:US
Practice Address - Phone:502-327-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily