Individual
MR. THOMAS BIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2305 WINDSOR FOREST DR, LOUISVILLE, KY 40272-2331
(502) 544-2439
(502) 237-9949
Mailing address
2305 WINDSOR FOREST DR, LOUISVILLE, KY 40272-2331
(502) 544-2439
(502) 237-9949
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4036308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101058180
—
KY
Enumeration date
03/27/2025
Last updated
04/10/2026
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