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Organization
SHANNON L. SMITH-STEPHENS, DNP, APRN-BC, PLLC
Active
Organization
SHANNON L. SMITH-STEPHENS, DNP, APRN-BC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON LEIGH SMITH-STEPHENS DNP, APRN-BC (PROVIDER/SUPPLIER)
(606) 286-0440
Entity
Organization
Contact information
Practice address
6902B GRAHN RD, OLIVE HILL, KY 41164-8147
(606) 922-0121
(606) 548-5019
Mailing address
6902B GRAHN RD, OLIVE HILL, KY 41164-8147
(606) 286-0440
(606) 548-5019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215968003
INDIVIDUAL NPI
—
Enumeration date
05/20/2019
Last updated
07/12/2021
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