Individual
NICHOLE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MSN/MHA, FNP-C
Contact information
Practice address
3701 BALLARD VISTA CT, SMITHFIELD, KY 40068-9320
(502) 702-1100
Mailing address
3701 BALLARD VISTA CT, SMITHFIELD, KY 40068-9320
(502) 702-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012902
KY
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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