Individual
STACEY N GRIPSHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6105 1ST FINANCIAL DR, BURLINGTON, KY 41005-7892
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017424
KY
Other
Enumeration date
02/23/2022
Last updated
05/28/2024
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