Individual
JAMI RAY BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1201 PLEASANT VALLEY RD FL 3, OWENSBORO, KY 42303-9811
(270) 417-5390
(270) 417-0165
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.024375
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
3011877
KY
363LN0000X
Neonatal Nurse Practitioner
APRN.CNP.024375
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
3011877
KY
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.024375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001129390
ANTHEM
KY
01
—
235062
SIHO
KY
05
—
300008544
—
IN
05
—
7100488280
—
KY
01
—
K235580
MEDICARE
KY
Enumeration date
11/08/2017
Last updated
05/16/2025
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