MRS. DESTINEY NICOLE FOWLER
NPI 1225864564
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since September 12, 2024

555 S FLOYD ST, LOUISVILLE, KY 40202(502) 645-8016 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2024, Sep 12, 2024 (2 updates tracked since 2024).

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About Mrs. Destiney Nicole Fowler NPPES

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

MRS. DESTINEY NICOLE FOWLER (NPI 1225864564) is an individual student in an organized health care education/training program in Louisville, Kentucky, licensed in Kentucky (1165275) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1225864564

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRS. DESTINEY NICOLE FOWLER

Location Address555 S FLOYD STLouisville, KY 40202-3822

Mailing Address555 S Floyd StLouisville, KY 40202-3822 · (502) 645-8016

Phone(502) 645-8016

Sole ProprietorNo

Enumeration DateSeptember 12, 2024

Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1225864564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in KY · 1165275

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

555 S FLOYD ST, Louisville, KY 40202

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