Individual
AUTUMN L TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 DERRICK PL, HOPKINSVILLE, KY 42240-1325
(270) 874-2629
(270) 874-2774
Mailing address
111 DERRICK PL, HOPKINSVILLE, KY 42240-1325
(270) 874-2629
(270) 874-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006681
KY
363LF0000X
Family Nurse Practitioner
Primary
3006681
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000690860
ANTHEM
KY
05
—
7100141610
—
KY
01
—
P00915985
RR MEDICARE
KY
Enumeration date
10/26/2010
Last updated
10/03/2018
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