Individual
STEPHANIE R ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005479
KY
364S00000X
Clinical Nurse Specialist
5479S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200928240
—
IN
01
—
3005479
LICENSE
KY
05
—
7100067170
—
KY
01
—
71002771
LICENSE
IN
Enumeration date
07/22/2008
Last updated
12/31/2020
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