Mrs. Stephanie Tichenor
Nurse Practitioner Nurse Practitioner - Family Medicine
210 E Gray St Ste 1105
Louisville
, Kentucky 40202-3907
Mrs. Stephanie Tichenor
Nurse Practitioner Nurse Practitioner - Family Medicine
210 E Gray St Ste 1105
Louisville
, Kentucky 40202-3907
(502) 272-5116
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Stephanie Tichenor
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Mrs. Stephanie Tichenor
- 210 E Gray St Ste 1105
- Louisville, KY
- Zip : 40202-3907
- Fax : (502) 583-2120
- Phone : (502) 583-1697
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FAQs
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Is Mrs. Stephanie Tichenor a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3005412 | KY |
| N | 363L00000X | Nurse Practitioner | 5412P | KY |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 3005412 | KY |
National Provider Identifier
| NPI | 1013111939 |
|---|---|
| Provider Name | Mrs. Stephanie Tichenor |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40202-3907 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2007 |
| Last Update Date | 22/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000696981 | ANTHEM- NNIKY (01) | KY |
| 000040710 | HUMANA- NNIKY (01) | KY |
| 093360 | SIHO- NNIKY (01) | KY |
| 200884950 | (05) | IN |
| 50031587 | PASSPORT- NNIKY (01) | KY |
| 7100040710 | (05) | KY |
| 8960504 | CIGNA- NNIKY (01) | KY |
| 9152454 | AETNA- NNIKY (01) | KY |
| P00948802 | RAILROAD MEDICARE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.