Provider Demographics
NPI:1578301982
Name:BAUGH, MARCELLA JOY (MSN, APRN-CNP, FNP-C)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:JOY
Last Name:BAUGH
Suffix:
Gender:F
Credentials:MSN, APRN-CNP, FNP-C
Other - Prefix:
Other - First Name:MARCELLA
Other - Middle Name:JOY
Other - Last Name:YODER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:3101 RICHMOND ROAD, THE LITTLE CLINIC
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1599
Mailing Address - Country:US
Mailing Address - Phone:859-268-9866
Mailing Address - Fax:
Practice Address - Street 1:3101 RICHMOND ROAD, THE LITTLE CLINIC
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1599
Practice Address - Country:US
Practice Address - Phone:859-268-9866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4022526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily