Organization · Type 2 NPI

Fibro Care Clinic, LLC

Nurse Practitioner · Paducah, KY

NPI number 1942466784 Active

Practice location

5150 Village Square Dr
Paducah, KY 42001-9060

Mailing address

PO Box 7208
Paducah, KY 42002-7208

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X1672 (KY)
Physical Therapist 225100000X003235 (KY)
Nurse Practitioner Primary 363L00000X4806P (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942466784

Fibro Care Clinic, LLC's National Provider Identifier is 1942466784, issued on Jul 31, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paducah, KY. The record was last updated on Nov 11, 2008.