Individual
AMANDA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-9100
(855) 632-8329
Mailing address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-9100
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007562
KY
363LF0000X
Family Nurse Practitioner
71006953A
IN
363LF0000X
Family Nurse Practitioner
ARNP9421767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12418524
CAQH
—
Enumeration date
08/12/2012
Last updated
07/21/2022
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