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REJUVE MEDICAL CLINIC
NPI 1265748818
Nurse Practitioner - Family in Richmond, KY

Active since August 20, 2010
630 EASTERN BYPASS, SUITE A, RICHMOND, KY 40475(859) 353-5570(859) 353-5934 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rejuve Medical Clinic NPPES

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

REJUVE MEDICAL CLINIC (NPI 1265748818) is a healthcare organization registered as a family in Richmond, Kentucky and active in the NPI registry since August 2010. The organization lists Jody Johnson, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1265748818
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREJUVE MED SPA PLLC
Location Address630 EASTERN BYPASS, SUITE ARichmond, KY 40475-2330
Mailing Address630 Eastern Bypass, Suite ARichmond, KY 40475-2330 · (859) 353-5570 · Fax (859) 353-5934
Phone(859) 353-5570
Fax(859) 353-5934
Organization SubpartNo
Authorized OfficialJody JohnsonOwner/partner · (859) 353-5570
Enumeration DateAugust 20, 2010
Last NPPES UpdateDecember 20, 2010
✔ NPI 1265748818 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
License✔ Licensed in KY · 3528P
630 EASTERN BYPASS, Richmond, KY 40475
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Other Names 1

Doing Business AsRejuve Medical Clinic

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 Rejuve Med Spa PLLC's NPI number?

The NPI number for Rejuve Med Spa PLLC is 1265748818. It was assigned to this organization in the NPPES registry on August 20, 2010. The provider is doing business as Rejuve Medical Clinic.

Where is Rejuve Med Spa PLLC located?

Rejuve Med Spa PLLC is located at 630 Eastern Bypass Suite A, Richmond, KY 40475. The listed phone number is (859) 353-5570.

What is Rejuve Med Spa 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 Rejuve Med Spa PLLC was last updated on December 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.