Individual
JUAWANNA L SCHULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4071 TATES CREEK CENTRE DR, SUITE 100, LEXINGTON, KY 40517-3062
(859) 273-3888
(859) 272-3256
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78007671
—
KY
Enumeration date
03/09/2006
Last updated
12/02/2020
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