Provider Demographics
NPI:1013151711
Name:HARRISON, JUDY ANN (APRN)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:ANN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:JUDY
Other - Middle Name:ANN
Other - Last Name:TURPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 NEWTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1113
Mailing Address - Country:US
Mailing Address - Phone:859-288-2425
Mailing Address - Fax:859-288-7516
Practice Address - Street 1:961 BEASLEY ST
Practice Address - Street 2:STE 170
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4120
Practice Address - Country:US
Practice Address - Phone:859-226-5022
Practice Address - Fax:859-226-5025
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1060801163W00000X
KY3006997363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse