TRACEY NYCOLE BLAKLEY

CUMBERLAND, KY
NPI1497212302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3012958)
Enumeration Date2019-02-27
Last Update Date2019-08-19
Business Address
TRACEY NYCOLE BLAKLEY FNP
1620 E MAIN ST
CUMBERLAND, KY 40823
Phone number: 606-589-6113
Mailing Address
TRACEY NYCOLE BLAKLEY FNP
PO BOX 40
WHITESBURG, KY 41858-0040
Phone number: 606-633-4823