Healthcare Provider Details

I. General information

NPI: 1073221628
Provider Name (Legal Business Name): STEPHANIE PRYOR DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. STEPHANIE NICOLE CHAPPELL

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 W 6TH ST STE 100
LAWRENCE KS
66049-7700
US

IV. Provider business mailing address

325 MAINE STREET MSO LIBRARY
LAWRENCE KS
66044
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-5160
  • Fax: 785-505-5282
Mailing address:
  • Phone: 785-505-2988
  • Fax: 785-505-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-81343-062
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number81343
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: