Organization
PRINCETON FAMILY CARE, PLLC
Active
Parent organization
PRINCETON FAMILY CARE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCETON FAMILY CARE, PLLC
Authorized official
MARY JAMES APRN (OWNER/APRN)
(270) 365-2494
Entity
Organization
Contact information
Practice address
323 C SOUTH JEFFERSON ST, PRINCETON, KY 42445
(270) 365-2494
(270) 365-2496
Mailing address
PO BOX 190, PRINCETON, KY 42445
(270) 365-2494
(270) 365-2496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100027710
—
KY
Enumeration date
12/26/2007
Last updated
01/24/2020
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