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Stephanie N. Southard, Psc
Family Nurse Practitioner in Monticello, Kentucky
NPI 1629267315

Stephanie N. Southard, Psc is a Family Nurse Practitioner based in Monticello, KY and is specialized in Family. Stephanie N. Southard, Psc practices in Monticello, KY. The NPI Number for Stephanie N. Southard, Psc is 1629267315 and holds a License No. 02809 (Kentucky).

The current practice location address for Stephanie N. Southard, Psc is 1215 N Main St, Monticello, KY and can be reached out via phone at 606-340-8825 and via fax at 606-340-0097.

Location: 1215 N Main St, Monticello, KY, 42633-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629267315
Provider Name
Stephanie N. Southard, Psc
Credential
Provider Entity Type
Organization
Address
1215 N Main St, Monticello, KY, 42633-2900
Phone Number
606-340-8825
Fax Number
606-340-0097
Provider Enumeration Date
10/18/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64061807 05 KY
institution
Provider Business Practice Location Address Details
Address
1215 N Main St
City
Monticello
State
Kentucky
Zip
42633-2900
Phone Number
606-340-8825
Fax Number
606-340-0097
person
Provider Business Mailing Address Details
Address
1215 N Main St
City
Monticello
State
Kentucky
Zip
42633-2900
Phone Number
606-340-8825
Fax Number
606-340-0097
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
02809 (Kentucky)
Definition
Definition to come...
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