Basic Information
| Provider Information | |||||||||
| NPI: | 1689966020 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEATHERFORD | ||||||||
| FirstName: | JANE | ||||||||
| MiddleName: | TURNBULL | ||||||||
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| Credential: | APRN, IBCLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 LEADER AVE ROOM 252 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405069983 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236211 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2400 GREATSTONE PT | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405043274 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236211 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2011 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WL0100X | 1052843 | KY | N | Nursing Service Providers | Registered Nurse | Lactation Consultant | 363LP0200X | 3011639 | KY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics | 363LF0000X | 3011639 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.