Healthcare Provider Details

I. General information

NPI: 1528738283
Provider Name (Legal Business Name): BRITTANY N STARK PMHNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PROSPEROUS PL
LEXINGTON KY
40509-1866
US

IV. Provider business mailing address

103 CHRISTOPHER DR
NICHOLASVILLE KY
40356-1258
US

V. Phone/Fax

Practice location:
  • Phone: 859-368-0609
  • Fax: 859-368-9767
Mailing address:
  • Phone: 270-302-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number3016519
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3016519
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3016519
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: