Provider Demographics
NPI:1154987451
Name:CONNORS, DELANA MICHELLE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DELANA
Middle Name:MICHELLE
Last Name:CONNORS
Suffix:
Gender:
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 WEST HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033
Mailing Address - Country:US
Mailing Address - Phone:270-215-1408
Mailing Address - Fax:833-973-4706
Practice Address - Street 1:315 WEST HIGH STREET
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1378
Practice Address - Country:US
Practice Address - Phone:270-215-1408
Practice Address - Fax:833-973-4706
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X, 261Q00000X, 261QR1300X, 261QU0200X
KY3013338207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily