Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 3015888 | KY |
NPI | 1003492778 |
---|---|
Provider Name | Mrs. Tessie Hepworth |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40218-2497 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2021 |
Last Update Date | 20/05/2021 |