Jacey Standridge

NPI 1871441725 · on the registry since 2026 · sole proprietor

Practice

Address: 9913 Shelbyville Rd
Louisville, KY 40223
Phone: (502) 377-3000
Organisation at this address: Optimum Health Center
Douglas Institute Pllc
The Promised Generation
New Source Medical, Llc
Anant Integrated Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky