| Kristin Johnsen, APRN | |
|
107 Metker Trl, Suite A, Stanford, KY 40484-1049 | |
| (606) 365-8338 | |
| (606) 365-8142 |
| Full Name | Kristin Johnsen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 107 Metker Trl, Stanford, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245783554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010603 (Kentucky) | Primary |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Entity Name | Rural Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437574613 PECOS PAC ID: 6901039197 Enrollment ID: O20140423001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Johnsen, APRN 107 Metker Trl, Suite A, Stanford, KY 40484-1049 Ph: (606) 365-8338 | Kristin Johnsen, APRN 107 Metker Trl, Suite A, Stanford, KY 40484-1049 Ph: (606) 365-8338 |
Shannah Click, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Wade Owens Rd N, Stanford, KY 40484 Phone: 606-669-6006 Fax: 606-661-0141 | |
Jennifer Merrick, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 110 Metker Trl, Stanford, KY 40484 Phone: 606-365-3360 | |
Mrs. Jamie Lynn Atwood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jay St, Stanford, KY 40484 Phone: 606-365-1547 Fax: 606-365-8380 | |
Mrs. Tracy Michele Boller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Frontier Blvd Ste 103, Stanford, KY 40484 Phone: 859-287-2949 Fax: 855-297-6367 | |
Mrs. Jesslyn Brianne Kelsey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jay St, Stanford, KY 40484 Phone: 859-583-7870 Fax: 606-365-8380 | |
Taylor Graves, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Harmon Hts, Stanford, KY 40484 Phone: 606-365-2141 Fax: 606-365-9755 |