Dr STEPHANIE A BLACKBURN BOULAY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.
BAPTIST HEALTH MEDICAL GROUP INC
1700 NICHOLASVILLE RD
LEXINGTON
KY
405031431
Tel:
| Npi | 1093076531 |
| Pac Id | 4385800648 |
| Professional Enrollment Id | I20120801000072 |
| Last Name | BLACKBURN BOULAY |
| First Name | STEPHANIE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Group Practice Pac Id | 5597867184 |
| Number Of Group Practice Members | 1241 |
| Line 1 Street Address | 1700 NICHOLASVILLE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | LEXINGTON |
| State | KY |
| Zip Code | 405031431 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 180103 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH LEXINGTON |
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| Professional Accepts Medicare Assignment | Y |
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