IndividualActive
Abigail Southall, NURSE PRACTITIONER
NPI 1861006066 · Family Nurse Practitioner · Lebanon, KY
Provider details
- NPI number
- 1861006066
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3015055 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
312 W High St
Lebanon, KY 40033-1428
Phone: (270) 692-9559
Fax: (270) 692-9236
Approximate (ZIP-level) locationGet directions
Mailing address
312 W High St
Lebanon, KY 40033-1428
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.