Doctor Name: | JULIA BLOCKER |
NPI Number: | 1366442782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1068963 |
Business Practice Address: | 123 N 19th St Suite 201 Middlesboro, KY - 409652865 |
Business Phone Number: | 6062480090 |
Business Fax Number: | 6062488803 |
Mailing Address: | Po Box 309, MIDDLESBORO |
State: | KY |
Postal Code: | 409650309 |
Phone Number: | 6062480090 |
Fax Number: | 6062488803 |
NPI Enumeration Date: | 07/28/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 1068963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |