Provider Demographics
NPI:1295439024
Name:STEPHENS, ERIN MOLLIE (APRN- (PNP-AC))
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MOLLIE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:APRN- (PNP-AC)
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MOLLIE
Other - Last Name:KIRKPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE, RN
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:TRANSITIONAL CARE CENTER (TCC)
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-803-4724
Mailing Address - Fax:
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 2021
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-6771
Practice Address - Fax:513-636-4615
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035287363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner