Tichenor, Stephanie
Tichenor, Stephanie is an individual health care provider with primary practice located at 210 E Gray St Ste 1105 , Louisville KY 40202-3907. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tichenor, Stephanie can be contacted via phone (502) 583-1697.Contact Information
Primary practice address
210 E Gray St Ste 1105
Louisville KY 40202-3907
Phone: (502) 583-1697
Fax: (502) 583-2120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / General Practice | 163WG0000X | 1096981 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5412P | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3005412 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3005412 | Kentucky |
Profile Details
NPI number | 1013111939 |
---|---|
LBN Legal business name | Tichenor, Stephanie |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Jan 22nd, 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 | 1013111939 | NPPES |
Kentucky | Other | 093360 | SIHO- NNIKY |
Kentucky | MEDICAID | 7100040710 | SIHO- NNIKY |
Kentucky | Other | P00948802 | SIHO- NNIKY |
Kentucky | MEDICAID | 200884950 | SIHO- NNIKY |
Kentucky | Other | 50031587 | SIHO- NNIKY |
Kentucky | Other | 000000696981 | SIHO- NNIKY |
Kentucky | Other | 000040710 | SIHO- NNIKY |
Kentucky | Other | 8960504 | SIHO- NNIKY |
Kentucky | Other | 9152454 | SIHO- NNIKY |
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