Provider Demographics
NPI:1285798272
Name:VERNON, STEPHANIE ELIZABETH (APRN)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ELIZABETH
Last Name:VERNON
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:UK DIVISION OF ENDOCRINOLOGY
Mailing Address - Street 2:800 ROSE ST, MN524
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0298
Mailing Address - Country:US
Mailing Address - Phone:859-323-5821
Mailing Address - Fax:859-323-5707
Practice Address - Street 1:UK DIVISION OF ENDOCRINOLOGY
Practice Address - Street 2:740 S. LIMESTONE, 2ND FLOOR
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-2232
Practice Address - Fax:859-257-2634
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2016-11-17
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3003583363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1496703Medicare ID - Type Unspecified
Q10965Medicare UPIN