Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jefferson Health Primary Care PLLC

Organization Family Nurse Practitioner · NPI 1124955406

Jefferson Health Primary Care PLLC provides Family Nurse Practitioner services in Louisville, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 W Jefferson St
Louisville, KY 40203
Phone: (502) 554-4024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1124955406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khairunissa Mohiuddin — President · (502) 554-4024
NPI enumeratedMay 8, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1500 W Jefferson St, Louisville, KY 40203

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