Most Relevant Information
Provider Data
| NPI Number: | 1003492778 |
| Provider Name: | TESSIE HEPWORTH APRN, AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 3015888 |
Most Important Dates
| Enumeration Date: | 03/22/2021 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
3430 NEWBURG RD STE 150
LOUISVILLE
KY
402182497
Practice Location Phone/Fax
| Phone: | 5024599127 |
| Fax: |
Provider Mailing Location
PO BOX 776351
CHICAGO
IL
606776351
Provider Mailing Phone/Fax
| Phone: | 5025889490 |
| Fax: |