Provider Demographics
NPI:1366709511
Name:MCGILL, SUZANNE BROOKE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:BROOKE
Last Name:MCGILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:B
Other - Last Name:LUNSFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ONE ST JOSEPH DRIVE
Mailing Address - Street 2:SAINT JOSEPH HOSPITAL/PULMONARY & CRITICAL CARE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504
Mailing Address - Country:US
Mailing Address - Phone:859-537-8893
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7001
Practice Address - Country:US
Practice Address - Phone:859-323-5956
Practice Address - Fax:859-323-1080
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007071363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner