Jefferson Health Primary Care PLLC
NPI 1124955406 · Family Nurse Practitioner · Louisville, KY
Jefferson Health Primary Care PLLC is a Family Nurse Practitioner organization in Louisville, KY (NPI 1124955406).
Provider details
- NPI number
- 1124955406
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Khairunissa Mohiuddin, President(502) 554-4024
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-08
- Last updated
- 2026-05-08
- Certified
- 2026-05-05
Frequently asked questions
- What is Jefferson Health Primary Care PLLC's NPI number?
- Jefferson Health Primary Care PLLC's National Provider Identifier (NPI) is 1124955406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Health Primary Care PLLC?
- Jefferson Health Primary Care PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jefferson Health Primary Care PLLC located?
- Jefferson Health Primary Care PLLC's practice location on file with NPPES is 1500 W Jefferson St, Louisville, KY 40203.
- What is Jefferson Health Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Health Primary Care PLLC is (502) 554-4024.
- Who is the authorized official for Jefferson Health Primary Care PLLC?
- The authorized official listed on Jefferson Health Primary Care PLLC's NPPES record is Khairunissa Mohiuddin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Health Primary Care PLLC's NPI active?
- Yes — Jefferson Health Primary Care PLLC's NPI (1124955406) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.