Individual
JASON RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4425P
KY
363L00000X
Nurse Practitioner
Primary
ARNP9334592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548409
BCBS
—
01
—
3548051000
PASSPORT ADVANTAGE
KY
Enumeration date
02/22/2007
Last updated
04/11/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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