ADVANCED SPINE & JOINT NPI 1447484118

NPI Information

  • NPI: 1447484118
  • Provider Name: ADVANCED SPINE & JOINT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 2404 NEW HOLT RD
    PADUCAH, KY
    ZIP 42001
  • Phone: (270) 534-4803

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NPI Details

ADVANCED SPINE & JOINT is a family nurse practitioner in Paducah, KY. ADVANCED SPINE & JOINT NPI is 1447484118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2404 NEW HOLT RD
PADUCAH, KY
ZIP 42001
Phone: (270) 534-4803
Fax: (270) 534-4024

The provider's authorized official is Tracie Lynn Bullock .
The authorized official title is Arnp and has the following contact phone number (270) 534-4803.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3142PKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1UP16698MEDICARE UPIN
20128MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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