Provider Demographics
NPI:1083418925
Name:STEPHENS, BRITTANY N
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:N
Last Name:STEPHENS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 ZINFANDEL LN
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-3403
Mailing Address - Country:US
Mailing Address - Phone:859-609-1730
Mailing Address - Fax:
Practice Address - Street 1:191 ZINFANDEL LN
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-3403
Practice Address - Country:US
Practice Address - Phone:859-609-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program