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

Mrs. Stephannie Lorene Goodrum, APRN

Individual provider Family Nurse Practitioner · NPI 1700396405

Mrs. Stephannie Lorene Goodrum, APRN is a Nurse Practitioner in Clinton, Kentucky. Qualified in 2017, 9 years ago. Practices with Upperline Healthcare PC, a 188-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

308 S Washington St Ste 200
Clinton, KY 42031-1347
Phone: (270) 653-0220
Fax: (270) 653-0221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3011787 (KY)

Record details

NPI number1700396405
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 7, 2017
Last updated in NPPESOctober 7, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Upperline Healthcare Pc — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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