Lunsford, Jaclyn

Lunsford, Jaclyn is an individual health care provider with primary practice located at 200 Medical Village Dr , Edgewood KY 41017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lunsford, Jaclyn can be contacted via phone (859) 301-5901.

Contact Information

Primary practice address
200 Medical Village Dr Edgewood KY 41017
Phone: (859) 301-5901
Fax: (859) 301-5940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1275903320
LBN Legal business name Lunsford, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Aug 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275903320 NPPES
Ohio MEDICAID 0150184
Ohio MEDICAID 7100388160

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