Blackburn Boulay, Stephanie Anne

Blackburn Boulay, Stephanie Anne is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-2162. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackburn Boulay, Stephanie Anne can be contacted via phone (859) 323-5603.

Contact Information

Primary practice address
740 S Limestone Lexington KY 40536-2162
Phone: (859) 323-5603
Fax: (859) 323-3704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3007414 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007414 Kentucky

Profile Details

NPI number 1093076531
LBN Legal business name Blackburn Boulay, Stephanie Anne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Feb 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093076531 NPPES
Kentucky MEDICAID 7100203810

Popular Providers