Triplett, Autumn L
Triplett, Autumn L is an individual health care provider with primary practice located at 111 Derrick Pl , Hopkinsville KY 42240-1325. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Triplett, Autumn L can be contacted via phone (270) 874-2629.Contact Information
Primary practice address
111 Derrick Pl
Hopkinsville KY 42240-1325
Phone: (270) 874-2629
Fax: (270) 874-2774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3006681 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006681 | Kentucky |
Profile Details
| NPI number | 1235439183 |
|---|---|
| LBN Legal business name | Triplett, Autumn L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2010 |
| Last updated | Oct 3rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235439183 | NPPES |
| Kentucky | Other | P00915985 | RR MEDICARE |
| Kentucky | Other | 000000690860 | RR MEDICARE |
| Kentucky | MEDICAID | 7100141610 | RR MEDICARE |
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