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Individual

JENNA JANINE STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-1067
(859) 323-6047
(859) 257-3873
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(304) 231-4047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3123
KY
363A00000X
Physician Assistant
Primary
TC259
KY
363AM0700X
Medical Physician Assistant
TC259
KY
363AS0400X
Surgical Physician Assistant
TC259
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/07/2022
Last updated
03/23/2026
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