Destiny Lace Blue, APRN, FNP-C
Nurse Practitioner, Family in London, KY. Individual provider (NPI-1).
NPI number1376495036
StatusActive
Last updated in NPPESAug 27, 2026
Details
- NPI
- 1376495036
- Entity type
- Individual (NPI-1)
- Name
- Destiny Lace Blue
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2026
- Certification date
- Aug 27, 2026
- Last updated
- Aug 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4053035 | KY | Yes |
Practice location
195 Commercial Dr Ste 98London, KY 40744-5200
Phone 606-878-1219
Mailing address
195 Commercial Dr Ste 98London, KY 40744-5200
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