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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
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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