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ADVANCED SPINE & JOINT
NPI 1447484118
Nurse Practitioner - Family in Paducah, KY

Active since May 11, 2009
2404 NEW HOLT RD, PADUCAH, KY 42001(270) 534-4803(270) 534-4024 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Spine & Joint NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPINE & JOINT (NPI 1447484118) is a healthcare organization registered as a family in Paducah, Kentucky and active in the NPI registry since May 2009. The organization lists Tracie Lynn Bullock, Arnp, as its authorized official.

NPPES Registry Identity

NPI1447484118
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED SPINE & JOINT
Location Address2404 NEW HOLT RDPaducah, KY 42001
Mailing Address2404 New Holt RdPaducah, KY 42001 · (270) 534-4803 · Fax (270) 534-4024
Phone(270) 534-4803
Fax(270) 534-4024
Organization SubpartNo
Authorized OfficialTracie Lynn BullockArnp · (270) 534-4803
Enumeration DateMay 11, 2009
Last NPPES UpdateJuly 21, 2010
✔ NPI 1447484118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3142P
2404 NEW HOLT RD, Paducah, KY 42001
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Other Identifiers 2

Medicare UPINUP16698
Medicare PIN0128KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIN CARE OF WESTERN KENTUCKY, PLLC
Pain Medicine (Interventional Pain Medicine)
2404 NEW HOLT RD
PADUCAH, KY 42001
McCracken County (618) 993-5859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Spine & Joint's NPI number?

The NPI number for Advanced Spine & Joint is 1447484118. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Advanced Spine & Joint located?

Advanced Spine & Joint is located at 2404 New Holt Rd, Paducah, KY 42001. The listed phone number is (270) 534-4803.

What is Advanced Spine & Joint's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Advanced Spine & Joint was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.