Individual
MRS. NAKLESA TONETTE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1403 CLOVERHILLS DR, LOUISVILLE, KY 40216-4027
(502) 759-3381
Mailing address
1403 CLOVERHILLS DR, LOUISVILLE, KY 40216-4027
(502) 759-3381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013868
KY
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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