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NPI Code Detail

MEDICARE: BRITTANY N STARK PMHNP- BC

MEDICARE: BRITTANY N STARK PMHNP- BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0813XGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist3016519KY
2363LF0000XFamily Nurse Practitioner3016519KY
3363LP0808XPsychiatric/Mental Health Nurse Practitioner3016519KY

General Provider Information

NPI Number : 1528738283
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY N STARK PMHNP- BC
Provider Business Mailing Address
First Line : 103 CHRISTOPHER DR
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-1258
Country : US
Telephone Number : 270-302-6644
Fax Number :
Provider Business Practice Location Address
First Line : 120 PROSPEROUS PL
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1866
Country : US
Telephone Number : 859-368-0609
Fax Number : 859-368-9767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2021
Last Update Date : 06/04/2026

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Directions to “ BRITTANY N STARK PMHNP- BC” Practice Location

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