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Individual

MRS. JENNA LYNN BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2401 REGENCY RD. STE. 101, ACCESS WELLNESS GROUP, LEXINGTON, KY 40503
(859) 309-0309
(859) 309-0914
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3007808
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3007808
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
ANTHEM GROUP
01
000000806055
ANTHEM
01
1487872636
NPI GROUP NUMBER (ARNP)
01
184607
MEDICARE GROUP NUMBER
KY
01
6764
MEDICARE GROUP
KY
05
7100238160
KY
01
78903689
KY MEDICAID ARNP GROUP
KY
01
CK2274
RAILROAD MEDICARE GROUP
KY
01
P01161549
RAILROAD MEDICARE
KY
Enumeration date
06/29/2006
Last updated
08/15/2015
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