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

Jessica Lewis, APRN

Individual provider Family Nurse Practitioner · NPI 1164269502

Jessica Lewis, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices with Park Duvalle Community Health Center, Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3015 Wilson Ave
Louisville, KY 40211-1969
Phone: (502) 774-4401
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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 · Licence 4005512 (KY)

Record details

NPI number1164269502
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Park Duvalle Community Health Center, Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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