Individual
MRS. TESSIE HEPWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
3430 NEWBURG RD STE 150, LOUISVILLE, KY 40218-2497
(502) 459-9127
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3015888
KY
Other
Enumeration date
03/22/2021
Last updated
05/20/2021
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