Stephens, Tracy Louise
Stephens, Tracy Louise is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stephens, Tracy Louise can be contacted via phone (859) 912-7211.Contact Information
Primary practice address
85 N Grand Ave
Fort Thomas KY 41075-1793
Phone: (859) 912-7211
Fax: (859) 655-6674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 291717 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71004389A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3007746 | Kentucky |
Profile Details
| NPI number | 1568664142 |
|---|---|
| LBN Legal business name | Stephens, Tracy Louise |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Mar 5th, 2021 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568664142 | NPPES |
| Indiana | MEDICAID | 201152200 | |
| Indiana | MEDICAID | 3031623 | |
| Indiana | MEDICAID | 7100233730 |
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