Provider Demographics
NPI:1932169752
Name:JOERLING, JOHN M (FNP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:JOERLING
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 HOSPITAL ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-2416
Mailing Address - Country:US
Mailing Address - Phone:606-340-3251
Mailing Address - Fax:606-340-3266
Practice Address - Street 1:166 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-2416
Practice Address - Country:US
Practice Address - Phone:606-340-3251
Practice Address - Fax:606-340-3266
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8377363LF0000X
KY3002658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0110OtherJOHN DEERE INS.
TN3648690Medicaid
KY78006814Medicaid
TN100042005OtherPHP TNCARE
TN4100819OtherBCBS
KY357403OtherANTHEM BCBS
KY78006814Medicaid
TN3648690Medicaid
S96497Medicare UPIN