Individual
JULIA BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
150 HESTER LN, TAZEWELL, TN 37879-5088
(423) 851-4594
(423) 851-4595
Mailing address
150 HESTER LN, TAZEWELL, TN 37879-5088
(423) 851-4594
(423) 851-4595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15508
TN
363LP2300X
Primary Care Nurse Practitioner
1068963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349810
BLUE CROSS OF KY
KY
05
—
0797501
—
KY
01
—
P00004755
RAIL ROAD MEDICARE
KY
Enumeration date
07/28/2005
Last updated
02/08/2024
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