Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stephanie Ann Nicholson

Individual provider Nurse Practitioner · NPI 1346875796

Mrs. Stephanie Ann Nicholson is a Nurse Practitioner in Bardstown, Kentucky. Qualified in 2016, 10 years ago. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

202 S 4th St
Bardstown, KY 40004-1008
Phone: (592) 338-5443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1123138 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 1123138 (KY)

Record details

NPI number1346875796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Bardstown