Short, Stephanie Ann

Short, Stephanie Ann is an individual health care provider with primary practice located at 1907 E Pittsburg Church Rd , London KY 40741-9047. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Administrator. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Short, Stephanie Ann can be contacted via phone (606) 389-5269.

Contact Information

Primary practice address
1907 E Pittsburg Church Rd London KY 40741-9047
Phone: (606) 389-5269
Fax: (606) 389-5276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3012415 Kentucky
Nursing Service Providers / Administrator 163WA2000X 1128589 Kentucky

Profile Details

NPI number 1154728251
LBN Legal business name Short, Stephanie Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2014
Last updated Mar 8th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154728251 NPPES
Kentucky MEDICAID 7100549240

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