Provider Demographics
NPI:1366172710
Name:CAPLE, JENNIFER N (NP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:CAPLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LOCUST CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-6203
Mailing Address - Country:US
Mailing Address - Phone:502-916-3130
Mailing Address - Fax:502-916-3230
Practice Address - Street 1:205 LOCUST CREEK BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-6203
Practice Address - Country:US
Practice Address - Phone:502-916-3130
Practice Address - Fax:502-916-3230
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1116263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily