Individual
NICOLE PURSIFULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2145 US HIGHWAY 25 E, MIDDLESBORO, KY 40965-1874
(606) 248-8503
Mailing address
100 AIRPORT GARDENS RD STE 311, HAZARD, KY 41701-9529
(606) 439-6978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011189
KY
Other
Enumeration date
03/15/2017
Last updated
08/03/2020
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