Provider Demographics
NPI:1710208541
Name:BUTLER, JENNIFER DANIELLE (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DANIELLE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1740 NICHOLASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1431
Mailing Address - Country:US
Mailing Address - Phone:859-260-6348
Mailing Address - Fax:859-260-4350
Practice Address - Street 1:1740 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1431
Practice Address - Country:US
Practice Address - Phone:859-260-6348
Practice Address - Fax:859-260-4350
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA078259207RS0012X
IL125067944207RS0012X
FLME158277207RS0012X
KYTP289208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine