Triplett, Autumn L

Triplett, Autumn L is an individual health care provider with primary practice located at 111 Derrick Pl , Hopkinsville KY 42240-1325. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Triplett, Autumn L can be contacted via phone (270) 874-2629.

Contact Information

Primary practice address
111 Derrick Pl Hopkinsville KY 42240-1325
Phone: (270) 874-2629
Fax: (270) 874-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3006681 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006681 Kentucky

Profile Details

NPI number 1235439183
LBN Legal business name Triplett, Autumn L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2010
Last updated Oct 3rd, 2018 - about 6 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 1235439183 NPPES
Kentucky Other P00915985 RR MEDICARE
Kentucky Other 000000690860 RR MEDICARE
Kentucky MEDICAID 7100141610 RR MEDICARE

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