Tickerhoff, Stephanie

Tickerhoff, Stephanie is an individual health care provider with primary practice located at 280 Broad St Suite A, Kernersville NC 27284-2796. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tickerhoff, Stephanie can be contacted via phone (336) 277-6430.

Contact Information

Primary practice address
280 Broad St Suite A Kernersville NC 27284-2796
Phone: (336) 277-6430
Fax: (336) 277-6448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 201811 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201811 North Carolina

Profile Details

NPI number 1942479571
LBN Legal business name Tickerhoff, Stephanie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2008
Last updated Oct 28th, 2020 - 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 1942479571 NPPES
North Carolina MEDICAID 7003723

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