ABIGAIL HAGAN SOUTHALL


Address: 312 W High St, Lebanon, KY 40033-1428
Phone: 2706929559

ABIGAIL HAGAN SOUTHALL (NPI# 1861006066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861006066
Entity Type Individual
Full Name ABIGAIL HAGAN SOUTHALL
Credential NURSE PRACTITIONER
Practice Address 312 W High St
Lebanon
KY 40033-1428
Practice Telephone 2706929559
Practice Fax Number 2706929236
Mailing Telephone 2706929559
Mailing Fax Number 2706929236
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3015055 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY NURSE PRACTITIONER LICENSE 3015055 01

Office Location

Street Address 312 W HIGH ST
City LEBANON
State KY
Zip Code 40033-1428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972595270 William Deadrick Kirk Internal Medicine 312 W High St, Lebanon, KY 40033-1428 2005-08-22
1710535315 Anne Claire Thomas Physician Assistant 312 W High St, Lebanon, KY 40033-1428 2019-08-28
1841795614 Better Way Therapy, Pllc Clinic/Center 312 W High St, Lebanon, KY 40033-1428 2018-03-26
1497209365 Julia Mcintosh Physician Assistant 312 W High St, Lebanon, KY 40033-1428 2016-08-09
1164883989 Deanna L Jones Social Worker 312 W High St, Lebanon, KY 40033-1428 2016-03-08
1063821379 Derhonda Mae Thompson Nurse Practitioner 312 W High St, Lebanon, KY 40033-1428 2014-08-12
1023376456 Pj Persson, Psc Surgery 312 W High St, Lebanon, KY 40033-1428 2012-04-23
1356661532 Joseph Sherman Leake Jr. Psychologist 312 W High St, Lebanon, KY 40033-1428 2010-06-10
1417043886 William D. Kirk M.d., Pllc Family Medicine 312 W High St, Lebanon, KY 40033-1428 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538636311 One Cross Health Clinic, Inc. Clinic/Center 305 Koehler Drive, Lebanon, KY 40033 2018-10-30
1467848952 Kelly Renee Deatley Family Medicine 325 W Walnut St Ste 600, Lebanon, KY 40033 2015-04-10
1003204892 Mmhh, LLC Clinic/Center 135 E. Martin Luther King Ave., Lebanon, KY 40033 2014-12-31
1194964510 Gregory W. Schall, Do, Pllc Family Medicine 312 W High Street, Lebanon, KY 40033 2009-02-09
1780859553 Wal-mart Stores East, Lp Eyewear Supplier (Equipment, not the service) 2136 Campbellsville Road, Lebanon, KY 40033 2008-04-23
1144491234 William Duley IIi Dentist 219 West Main St, Lebanon, KY 40033 2008-03-17
1891965927 Dana Michelle Logsdon Nurse Practitioner 727 W. Main St., Lebanon, KY 40033 2008-03-05
1669523684 The Childrens Clinic, Pllc. Pediatrics 420 Loretta Road, Lebanon, KY 40033 2007-01-16
1215022348 Marion County Anesthesia Associates Pllc Nurse Anesthetist, Certified Registered 320 Loretto Road, Lebanon, KY 40033 2006-10-04
1568479426 Daniel Earl Bailey Jr. Specialist 420 Loretto Rd, Suite 600, Lebanon, KY 40033 2006-08-02
Find all providers in zip 40033

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053912170 Kaley Elizabeth Barrett Nurse Practitioner 418 Edgewood Dr, Lebanon, PA 17042-9109 2020-11-04
1932716420 Jessica Erb Nurse Practitioner 804 Holly Ln, Lebanon, PA 17042-9028 2020-09-28
1922619527 Tammy Lynn Whitt Nurse Practitioner 961 Poor Farm Rd, Lebanon, VA 24266-7097 2020-08-17
1538777529 Shenia Diane Johnson Nurse Practitioner 71 S. Flannagan Ave., Lebanon, VA 24266-2426 2020-07-16
1275158164 Kelly Mcdaniel Nurse Practitioner 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 2020-06-16
1609498955 Kelsey Jones Nurse Practitioner 1412 Nathaniel Dr, Lebanon, MO 65536-8906 2020-05-09
1124657887 Shelly Prather Nurse Practitioner 350 Wheeler St, Lebanon, OR 97355-4349 2020-04-05
1205479458 Natasha Denney Arentz Nurse Practitioner 5787 Oh-63, Lebanon, OH 45036 2019-10-21
1720638661 Advanced Practice Primary Care, Pllc Nurse Practitioner 2336 Coal Tipple Hollow, Lebanon, VA 24266 2019-09-12
1821642430 Jill Montgomery Major Nurse Practitioner 135 Knights Brg, Lebanon, TN 37090-1410 2019-07-31
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 40033

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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