Individual
JASON PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4400 BRECKENRIDGE LN STE 147, LOUISVILLE, KY 40218-4175
(502) 708-1904
(502) 708-2547
Mailing address
4400 BRECKENRIDGE LN STE 147, LOUISVILLE, KY 40218-4175
(502) 708-1904
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3014516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3014516
—
KY
Enumeration date
04/23/2020
Last updated
05/07/2025
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