NPI 1265748818

Rejuve Med Spa PLLC

Organisation Family Nurse Practitioner Richmond, KY

Practice location

Address: 630 Eastern Bypass Suite a, Richmond, KY 40475-2330
Phone: (859) 353-5570
Fax: (859) 353-5934

Authorised official

Name: Jody Johnson
Title: Owner/Partner
Phone: (859) 353-5570

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 3528P (KY)

Other Nurse Practitioner providers in Kentucky →

Registry record

NPI: 1265748818
Entity type: Organization
NPI issued: 20 Aug 2010
Record last updated: 20 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.