Individual
AIMEE NICOLE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N., F.N.P.-B.C
Contact information
Practice address
123 N 19TH ST, MIDDLESBORO, KY 40965-2865
(606) 248-2739
(606) 248-2730
Mailing address
2009 NICKERSON AVE, KNOXVILLE, TN 37917-3270
(606) 248-2739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3008525
KY
363LF0000X
Family Nurse Practitioner
Primary
APN18437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01983681
RR MEDICARE
TN
05
—
Q030733
—
TN
Enumeration date
04/26/2014
Last updated
07/31/2019
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