OrganizationActive
2022 LLC
NPI 1821809153 · Family Nurse Practitioner · Louisville, KY
Provider details
- NPI number
- 1821809153
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- 2022 LLC
- Authorized official
- Xavier Giles, Owner
Practice location
700 Gagel Ave
Louisville, KY 40216-4008
Phone: (502) 963-5516
Fax: (502) 963-5704
Mailing address
4104 Smarty Jones Dr
Louisville, KY 40214-6530
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.