| Mr Justin William Davis, MSN, APRN, FNP-C | |
|
110 W John Rowan Blvd, Bardstown, KY 40004-2663 | |
| (502) 337-7409 | |
| Not Available |
| Full Name | Mr Justin William Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 110 W John Rowan Blvd, Bardstown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043853302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3013878 (Kentucky) | Primary |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin William Davis, MSN, APRN, FNP-C 2605 Simpson Creek Rd, Bloomfield, KY 40008-6110 Ph: () - | Mr Justin William Davis, MSN, APRN, FNP-C 110 W John Rowan Blvd, Bardstown, KY 40004-2663 Ph: (502) 337-7409 |
Angela Marie Ballard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-5968 Fax: 502-349-0963 | |
Krystal Rall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W John Rowan Blvd, Bardstown, KY 40004 Phone: 502-337-7409 Fax: 502-337-7410 | |
Mrs. Shandrika Renee Feitelson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5000 | |
Mrs. Michele Herbert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5000 | |
Mrs. Monica B Strenecky, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 | |
Kathleen Troutman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W John Rowan Blvd, Bardstown, KY 40004 Phone: 502-337-7409 |