Provider Demographics
NPI:1952297442
Name:EPLEY, ALEXANDRA BLAINE (APRN)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:BLAINE
Last Name:EPLEY
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:606-330-7835
Mailing Address - Fax:502-218-1711
Practice Address - Street 1:150 MOUNT VERNON DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-1410
Practice Address - Country:US
Practice Address - Phone:502-218-1710
Practice Address - Fax:502-218-1711
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4042044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily