OrganizationActive
Advanced Spine & Joint
NPI 1447484118 · Family Nurse Practitioner · Paducah, KY
Provider details
- NPI number
- 1447484118
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tracie Bullock, Arnp(270) 534-4803
- License
- 3142P (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2404 New Holt Rd
Paducah, KY 42001
Phone: (270) 534-4803
Fax: (270) 534-4024
Approximate (ZIP-level) locationGet directions
Mailing address
2404 New Holt Rd
Paducah, KY 42001
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2010-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.