MEDICARE: JULIA BLOCKER ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	1068963	KY
2	363LF0000X	Family Nurse Practitioner	15508	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00004755	OTHER	KY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000349810	OTHER	KY	BLUE CROSS OF KY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366442782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA BLOCKER ARNP

Provider Business Mailing Address
First Line	:	150 HESTER LN
Second Line	:
City	:	TAZEWELL
State	:	TN
Zip	:	37879-5088
Country	:	US
Telephone Number	:	423-851-4594
Fax Number	:	423-851-4595

Provider Business Practice Location Address
First Line	:	150 HESTER LN
Second Line	:
City	:	TAZEWELL
State	:	TN
Zip	:	37879-5088
Country	:	US
Telephone Number	:	423-851-4594
Fax Number	:	423-851-4595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/08/2024

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Directions to “ JULIA BLOCKER ARNP” Practice Location

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