Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Health Primary Care PLLC

Organization Family Nurse Practitioner · NPI 1124955406

Jefferson Health Primary Care PLLC is a Family Nurse Practitioner in Louisville, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 W Jefferson St
Louisville, KY 40203
Phone: (502) 554-4024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1124955406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khairunissa Mohiuddin — President · (502) 554-4024
NPI enumeratedMay 8, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1500 W Jefferson St, Louisville, KY 40203

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