Provider Demographics
NPI:1063925857
Name:INGLISH, MONICA JO (APRN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:JO
Last Name:INGLISH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:JO
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2311 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3243
Mailing Address - Country:US
Mailing Address - Phone:270-443-8425
Mailing Address - Fax:
Practice Address - Street 1:2311 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3243
Practice Address - Country:US
Practice Address - Phone:270-443-1220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011797363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty