Doctor Name: | MS. JEWELL B. LAY |
NPI Number: | 1881674059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 3474P |
Business Practice Address: | 299 Glasgow Rd Burkesville, KY - 427179696 |
Business Phone Number: | 2708642511 |
Business Fax Number: | |
Mailing Address: | 3587 Nobob Rd, GLASGOW |
State: | KY |
Postal Code: | 421418831 |
Phone Number: | 2704284067 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3474P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |