Organization
BLUEGRASS MOBILE MEDICAL SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ALAN OWENS DNP, APRN, FNP-C (OWNER,ADMINISTRATOR)
(859) 797-1112
Entity
Organization
Contact information
Practice address
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517-1317
(859) 554-5067
(859) 818-0324
Mailing address
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517-1317
(859) 554-5067
(859) 818-0324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1053225
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100471130
—
KY
Enumeration date
03/31/2017
Last updated
03/14/2021
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