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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JEFFERSON HEALTH PRIMARY CARE PLLC
NPI 1124955406
Nurse Practitioner - Family in Louisville, KY

Active since May 08, 2026
1500 W JEFFERSON ST, LOUISVILLE, KY 40203(502) 554-4024 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, May 8, 2026 (2 updates tracked since 2026).

About Jefferson Health Primary Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON HEALTH PRIMARY CARE PLLC (NPI 1124955406) is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since May 2026. The organization lists Khairunissa Mohiuddin, President, as its authorized official.

NPPES Registry Identity

NPI1124955406
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJEFFERSON HEALTH PRIMARY CARE PLLC
Location Address1500 W JEFFERSON STLouisville, KY 40203
Mailing Address1500 W Jefferson StLouisville, KY 40203 · (502) 365-2023
Phone(502) 554-4024
Organization SubpartNo
Authorized OfficialKhairunissa MohiuddinPresident · (502) 554-4024
Enumeration DateMay 8, 2026
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1124955406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1500 W JEFFERSON ST, Louisville, KY 40203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Health Primary Care PLLC's NPI number?

The NPI number for Jefferson Health Primary Care PLLC is 1124955406. It was assigned to this organization in the NPPES registry on May 8, 2026.

Where is Jefferson Health Primary Care PLLC located?

Jefferson Health Primary Care PLLC is located at 1500 W Jefferson St, Louisville, KY 40203. The listed phone number is (502) 554-4024.

What is Jefferson Health Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jefferson Health Primary Care PLLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.