Individual
MS. ASHLEY NICOLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
191 WAL MART WAY, MAYSVILLE, KY 41056-7518
(606) 759-0021
(606) 759-0086
Mailing address
191 WAL MART WAY, MAYSVILLE, KY 41056-7518
(606) 759-0021
(606) 759-0086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075274
—
OH
05
—
71002222550
—
KY
Enumeration date
09/10/2012
Last updated
08/14/2014
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