Healthcare Provider Details

I. General information

NPI: 1760166920
Provider Name (Legal Business Name): STEPHANIE ANNE SCHERTZINGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE ANNE JONES RN

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 DUNLOP LN STE 301
CLARKSVILLE TN
37040-5265
US

IV. Provider business mailing address

897 BILLY GOAT HILL RD
HOPKINSVILLE KY
42240-1146
US

V. Phone/Fax

Practice location:
  • Phone: 270-461-5015
  • Fax: 931-645-4104
Mailing address:
  • Phone: 270-839-1811
  • Fax: 931-645-4104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number1111572
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: