Individual
MS. DEBORAH JEAN STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
320 MICBETH DR, PRINCETON, KY 42445-6332
(270) 265-3433
Mailing address
320 MICBETH DR, PRINCETON, KY 42445-6332
(270) 365-3343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C6150
—
KY
Enumeration date
02/13/2019
Last updated
07/05/2019
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