Provider Demographics
NPI:1124056007
Name:AKERS, REBECCA L (APRN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:AKERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 REESE BLVD
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40977-7567
Mailing Address - Country:US
Mailing Address - Phone:606-499-2122
Mailing Address - Fax:
Practice Address - Street 1:2004 CUMBERLAND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-1299
Practice Address - Country:US
Practice Address - Phone:660-248-3015
Practice Address - Fax:606-248-3024
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011077363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK206930Medicare PIN