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Individual

JONATHAN LUKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
1680 CAMPBELL LN STE 109, BOWLING GREEN, KY 42104-1062
(412) 680-5051
Mailing address
1680 CAMPBELL LN STE 109, BOWLING GREEN, KY 42104-1062
(724) 797-0014

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP011981
PA
363LF0000X
Family Nurse Practitioner
Primary
3018796
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028503850001
PA
Enumeration date
03/27/2012
Last updated
08/26/2025
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