Individual
JASON LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1060 GOODWIN DR STE 110, LEXINGTON, KY 40505-3824
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009686
KY
363LF0000X
Family Nurse Practitioner
Primary
3009686
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3009686
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100429780
—
KY
Enumeration date
09/14/2015
Last updated
08/02/2024
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