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

Rejuve Med Spa PLLC

Organization Family Nurse Practitioner · NPI 1265748818

Rejuve Med Spa PLLC is a Family Nurse Practitioner in Richmond, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
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

630 Eastern Byp Ste A
Richmond, KY 40475-2330
Phone: (859) 353-5570
Fax: (859) 353-5934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3528P (KY)

Record details

NPI number1265748818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Johnson — Owner/Partner · (859) 353-5570
Other names Rejuve Medical Clinic
NPI enumeratedAugust 20, 2010
Last updated in NPPESDecember 20, 2010
Mailing address630 Eastern Bypass, Suite A, Richmond, KY 40475-2330

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