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NPI Code Detail

MEDICARE: STEPHANIE KRESS PMHNP-BC, LCSW

MEDICARE: STEPHANIE KRESS PMHNP-BC, LCSW
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
11041C0700XClinical Social Worker1408-4117CAL
21041C0700XClinical Social Worker6406TN
3163W00000XRegistered Nurse257395TN
4363LP0808XPsychiatric/Mental Health Nurse Practitioner32506TN

General Provider Information

NPI Number : 1811410921
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KRESS PMHNP-BC, LCSW
Provider Business Mailing Address
First Line : 377 RIVERSIDE DR STE 302
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5393
Country : US
Telephone Number : 615-438-3560
Fax Number : 949-703-8442
Provider Business Practice Location Address
First Line : 377 RIVERSIDE DR STE 302
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5393
Country : US
Telephone Number : 615-438-3560
Fax Number : 949-703-8442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2017
Last Update Date : 02/07/2025

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