Most Relevant Information
Provider Data
| NPI Number: | 1003318213 |
| Provider Name: | STEPHANIE LEIGH HOUIN PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 2018007521 |
Most Important Dates
| Enumeration Date: | 03/03/2018 |
| Last Updated: | 10/20/2022 |
Provider Practice Location
130 JOE B HALL AVE
SHEPHERDSVILLE
KY
401656010
Practice Location Phone/Fax
| Phone: | 5029556447 |
| Fax: |
Provider Mailing Location
10401 LINN STATION RD STE 100
LOUISVILLE
KY
402233842
Provider Mailing Phone/Fax
| Phone: | 5025898600 |
| Fax: |