| Stephanie Watson, | |
| 
					311 W High Street, Lebanon, KY 40033-1427  | |
| (270) 692-5811 | |
| (270) 692-3863 | 
| Full Name | Stephanie Watson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 311 W High Street, Lebanon, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235902305 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4009896 (Kentucky) | Primary | 
| Entity Name | Cumberland Family Medical Center, Inc.. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephanie Watson, Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472  | Stephanie Watson, 311 W High Street, Lebanon, KY 40033-1427 Ph: (270) 692-5811  | 
Abigail Smothers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 W High St, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236  | |
Derhonda Mae Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 W High St, Lebanon, KY 40033 Phone: 270-692-9559  | |
Beverly Ann Holbert, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550  | |
Mrs. Anne C Morley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500  | |
Brittany Nicole Bright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 N Depot St, Lebanon, KY 40033 Phone: 270-465-3561  | |
Constance Louise Mahin, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 757 W Main St, Lebanon, KY 40033 Phone: 270-972-4186  |