| Denova | |
|
1301 Winchester Rd Ste 147 Lexington KY 40505-4179 | |
| (859) 309-2814 | |
| (859) 309-1791 |
| Full Name | Denova |
|---|---|
| Speciality | Counselor |
| Location | 1301 Winchester Rd Ste 147, Lexington, Kentucky |
| Authorized Official Name and Position | Jana Jacobson (PRACTICE MANAGER) |
| Authorized Official Contact | 8595521272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denova 2036 Twain Ridge Dr Lexington KY 40514-1325 Ph: () - | Denova 1301 Winchester Rd Ste 147 Lexington KY 40505-4179 Ph: (859) 309-2814 |
| NPI Number | 1194207910 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Medicare PECOS PAC ID | 2769895374 |
|---|---|
| Medicare Enrollment ID | O20201228001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194207910 | NPI | - | NPPES |
| Provider Name | Wynetta J Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720070048 PECOS PAC ID: 3971416421 Enrollment ID: I20031111000010 |
| Provider Name | Cynthia L Mcalister |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679500748 PECOS PAC ID: 7113817750 Enrollment ID: I20040322000701 |
| Provider Name | Durrett M Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386794824 PECOS PAC ID: 5597786004 Enrollment ID: I20051213000188 |
| Provider Name | Arlys K Solien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437130580 PECOS PAC ID: 8729139985 Enrollment ID: I20090629000221 |
| Provider Name | Cheryl Mcclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316965700 PECOS PAC ID: 9133026594 Enrollment ID: I20161006001577 |
| Provider Name | Andree Kellyn Deifel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639624349 PECOS PAC ID: 8921386525 Enrollment ID: I20161102002186 |
| Provider Name | Sandra T Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699813212 PECOS PAC ID: 9830441849 Enrollment ID: I20181002002564 |
| Provider Name | Kay A Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871700971 PECOS PAC ID: 1759794928 Enrollment ID: I20210107000514 |
| Provider Name | Shirley B Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265034375 PECOS PAC ID: 6800200213 Enrollment ID: I20210126002886 |
| Provider Name | Samantha Kaye Goodlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730850363 PECOS PAC ID: 0345634549 Enrollment ID: I20220304001266 |
| Provider Name | Shanna Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407587694 PECOS PAC ID: 6901273978 Enrollment ID: I20221103001475 |
| Provider Name | Thomas E Nugent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093737579 PECOS PAC ID: 7315927258 Enrollment ID: I20221108002545 |
| Provider Name | Melissa K Young-flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235749581 PECOS PAC ID: 2466857917 Enrollment ID: I20221116001290 |
| Provider Name | Anna A Schoeneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891475414 PECOS PAC ID: 8325401060 Enrollment ID: I20230829002867 |
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