Individual
JEFFREY FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
311 ROY CAMPBELL DR, SUITE 100, HAZARD, KY 41701-9486
(606) 487-7383
(606) 487-8374
Mailing address
281 TERRACE VIEW DR, HAZARD, KY 41701-7882
(606) 436-0711
(606) 436-0848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007083
LICENSE NUMBER
KY
Enumeration date
08/19/2011
Last updated
10/01/2021
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