# MRS. STEPHANIE TICHENOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013111939
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 1096981 | KY | — |
| 363L00000X | Nurse Practitioner | 3005412 | KY | Yes |
| 363L00000X | Nurse Practitioner | 5412P | KY | — |
| 363LF0000X | Family Nurse Practitioner | 3005412 | KY | — |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 01/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000696981 | ANTHEM- NNIKY | KY |
| 01 | — | 000040710 | HUMANA- NNIKY | KY |
| 01 | — | 093360 | SIHO- NNIKY | KY |
| 05 | — | 200884950 | — | IN |
| 01 | — | 50031587 | PASSPORT- NNIKY | KY |
| 05 | — | 7100040710 | — | KY |
| 01 | — | 8960504 | CIGNA- NNIKY | KY |
| 01 | — | 9152454 | AETNA- NNIKY | KY |
| 01 | — | P00948802 | RAILROAD MEDICARE | KY |