GRAYSON COUNTY FAMILY MEDICINE, PLLC (NPI# 1962920314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962920314 |
| Entity Type | Organization |
| Organization Name | GRAYSON COUNTY FAMILY MEDICINE, PLLC |
| Practice Address |
133 Fountain View Dr Leitchfield KY 42754-9100 |
| Mailing Address |
133 Fountain View Drive Leitchfield KY 42754 |
| Practice Telephone | 2702002900 |
| Practice Fax Number | 2702002901 |
| Mailing Telephone | 2702002900 |
| Mailing Fax Number | 2702002901 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | JENNA R BRATCHER (APRN/OWNER) |
| Authorized Official Telephone | 2702002900 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
133 FOUNTAIN VIEW DR |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588921738 | Richard D Basham | Nurse Practitioner | 100 E White Oak St, Leitchfield, KY 42754-1447 | 2012-04-12 |
| 1033401088 | Cova Teresa Stidham | Nurse Practitioner | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2011-05-10 |
| 1992306450 | Karen Michelle Manning | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-11-02 |
| 1629611843 | Jamie M Niehaus | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2019-10-21 |
| 1598311045 | Ashley Nicole Flener | Nurse Practitioner | 908 Wallace Ave, Leitchfield, KY 42754-1479 | 2019-08-12 |
| 1154987451 | Delana Michelle Connors | Nurse Practitioner | 312 N Main St, Leitchfield, KY 42754-2231 | 2019-05-13 |
| 1245792522 | Debra Ann Taylor | Nurse Practitioner | 718 Goodwin Ln, Leitchfield, KY 42754-1400 | 2019-04-04 |
| 1700307451 | Jennifer Hughes | Nurse Practitioner | 908 Wallace Ave, Leitchfield, KY 42754-1479 | 2017-07-03 |
| 1770952806 | Rita A. Logsdon | Nurse Practitioner | 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2015-09-18 |
| 1659754026 | Bambi Racquel Snyder | Nurse Practitioner | 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2015-07-03 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
Please comment or provide details below to improve the information on GRAYSON COUNTY FAMILY MEDICINE, PLLC.
| 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.