Brock, Aimee Nicole

Brock, Aimee Nicole is an individual health care provider with primary practice located at 123 N 19Th St , Middlesboro KY 40965-2865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brock, Aimee Nicole can be contacted via phone (606) 248-2739.

Contact Information

Primary practice address
123 N 19Th St Middlesboro KY 40965-2865
Phone: (606) 248-2739
Fax: (606) 248-2730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3008525 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN18437 Tennessee

Profile Details

NPI number 1699195883
LBN Legal business name Brock, Aimee Nicole
Credentials A.P.R.N., F.N.P.-B.C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2014
Last updated Jul 31st, 2019 - about 6 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699195883 NPPES
Tennessee Other P01983681 RR MEDICARE
Tennessee MEDICAID Q030733 RR MEDICARE

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