Most Relevant Information
Provider Data
  | NPI Number: | 1003585902 | 
| Provider Name: | MICHELLE DENNIS APRN | 
| Entity Type: | Individual | 
| Taxonomy Code: | 363LF0000X | 
| Specialty: | Nurse Practitioner | 
| License Number: | 3016458 | 
Most Important Dates
  | Enumeration Date: | 09/13/2021 | 
| Last Updated: | 09/13/2021 | 
Provider Practice Location
  2157 S-HWY 27
      
      STEARNS
      KY
      42647
  Practice Location Phone/Fax
      | Phone: | 6063769700 | 
| Fax: | 
Provider Mailing Location
  2157 S-HWY 27
      
      STEARNS
      KY
      42647
  Provider Mailing Phone/Fax
      | Phone: | 6063769700 | 
| Fax: |