Provider Demographics
NPI:1821626441
Name:PRIEST, STEPHANIE (APRN, DNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:PRIEST
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:DEVORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:845 DELANEY FERRY RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-9505
Mailing Address - Country:US
Mailing Address - Phone:859-229-3549
Mailing Address - Fax:
Practice Address - Street 1:740 S LIMESTONE S STE L119
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-9505
Practice Address - Country:US
Practice Address - Phone:859-257-3253
Practice Address - Fax:859-257-1203
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014951363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily