Individual
STEPHANIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W HIGH STREET, LEBANON, KY 40033-1427
(270) 692-5811
(270) 692-3863
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4009896
KY
Other
Enumeration date
11/01/2023
Last updated
11/02/2023
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