Provider Demographics
NPI:1295527661
Name:JEAN PAUL, AXLER
Entity type:Individual
Prefix:
First Name:AXLER
Middle Name:
Last Name:JEAN PAUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 WOODHILL DR APT 3
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1232
Mailing Address - Country:US
Mailing Address - Phone:754-946-8391
Mailing Address - Fax:
Practice Address - Street 1:2511 WOODHILL DR APT 3
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1232
Practice Address - Country:US
Practice Address - Phone:754-946-8391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program