Provider Demographics
NPI:1215358411
Name:ISAAC, NICOLE ELIZABETH (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ELIZABETH
Last Name:ISAAC
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Gender:F
Credentials:APRN, NP-C
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:50 WEDDINGTON BRANCH RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-3296
Mailing Address - Country:US
Mailing Address - Phone:606-218-6011
Mailing Address - Fax:606-218-6082
Practice Address - Street 1:50 WEDDINGTON BRANCH RD
Practice Address - Street 2:SUITE C
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3296
Practice Address - Country:US
Practice Address - Phone:606-218-6011
Practice Address - Fax:606-218-6082
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2015-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3008383363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily