# MARKINS PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780123687
- **Authorized official:** LATISHA FAYE MARKINS APRN (APRN, OWNER)
- **Authorized official phone:** (270) 505-0073

## Contact information

- **Practice address:** 1098 OTTER CREEK RD, VINE GROVE, KY 40175-1200
- **Practice address phone:** (270) 505-0073
- **Mailing address:** 1098 OTTER CREEK RD, VINE GROVE, KY 40175-1200
- **Mailing address phone:** (270) 505-0073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3007523 | KY | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017