CAMERON STEPHENSON NP NPI 1790065738

NPI Information

NPI: 1790065738
Provider Name: CAMERON STEPHENSON, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
196 BEVINS LN
SUITE F
GEORGETOWN, KY
ZIP 40324
Phone: (502) 863-2818
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Cameron Stephenson, NP is a pediatrics nurse practitioner in Georgetown, KY with 13 years of experience. Cameron Stephenson, NP NPI is 1790065738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

196 BEVINS LN
SUITE F
GEORGETOWN, KY
ZIP 40324-534
Phone: (502) 863-2818
Fax: (502) 863-2764

The NPI 1790065738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2011 and was last updated on 2/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	3009120	KENTUCKY	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	1-132527	ALABAMA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	178734	TENNESSEE	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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