| Aimee Nicole Brock, APRN, FNP-BC | |
| 
					123 N 19th St, Middlesboro, KY 40965-2865  | |
| (606) 248-2739 | |
| (606) 248-2730 | 
| Full Name | Aimee Nicole Brock | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 123 N 19th St, Middlesboro, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699195883 | NPI | - | NPPES | 
| P01983681 | Other | TN | RR MEDICARE | 
| Q030733 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3008525 (Kentucky) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APN18437 (Tennessee) | Primary | 
| Entity Name | Wellness Ambulatory Care Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659963445 PECOS PAC ID: 2163703901 Enrollment ID: O20210120000765  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aimee Nicole Brock, APRN, FNP-BC 2009 Nickerson Ave, Knoxville, TN 37917-3270 Ph: (606) 248-2739  | Aimee Nicole Brock, APRN, FNP-BC 123 N 19th St, Middlesboro, KY 40965-2865 Ph: (606) 248-2739  | 
Lynda Lynn Browning, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 N 19th St, Middlesboro, KY 40965 Phone: 606-248-0090  | |
Rebecca L Akers, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2004 Cumberland Ave, Suite 100, Middlesboro, KY 40965 Phone: 660-248-3015 Fax: 606-248-3024  | |
Karen Mcdaniel, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3004 Cumberland Ave, Medical Arts Building, Middlesboro, KY 40965 Phone: 606-248-4162 Fax: 606-242-3429  | |
Angela Warren,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 N 21st St, Middlesboro, KY 40965 Phone: 606-248-2862 Fax: 606-248-2876  | |
Nicole Pursifull, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2145 Us Highway 25 E, Middlesboro, KY 40965 Phone: 606-248-8503  | |
Katie Ruth Simpson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 New Wilson Ln, Middlesboro, KY 40965 Phone: 731-394-1145  | |
Kristy Marie Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3503 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-3100  |