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Organization

NANCY FAMILY PRACTICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANA L WILLIAMSON APRN FNP-C (COO/CO-OWNER/PROVIDER)
(606) 636-4214
Entity
Organization

Contact information

Practice address
7238 W HIGHWAY 80, NANCY, KY 42544-8752
(606) 636-4214
(606) 636-4215
Mailing address
PO BOX 100, 7238 WEST HWY 80, NANCY, KY 42544-0100
(606) 636-4214
(606) 636-4215

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900330
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100259250
KY
Enumeration date
05/21/2013
Last updated
07/06/2019
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