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Individual
TRACY LOUISE STEPHENS
Active
Individual
TRACY LOUISE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007746
KY
363L00000X
Nurse Practitioner
71004389A
IN
363LA2200X
Adult Health Nurse Practitioner
291717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201152200
—
IN
05
—
3031623
—
OH
05
—
7100233730
—
KY
Enumeration date
06/05/2007
Last updated
03/05/2021
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