Individual
DR. SHANNON LEIGH SMITH-STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
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) 922-0121
(606) 548-5019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003796
KY
363LF0000X
Family Nurse Practitioner
3003796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298213
ANTHEM BCBS
KY
01
—
000000609845
ANTHEM BCBS
KY
05
—
2826311
—
OH
05
—
78010220
—
KY
Enumeration date
07/06/2006
Last updated
07/12/2021
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