| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE MARIE STEPHENS | 1720791106 | 2023-02-12 |
Stephanie Marie Stephens is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720791106. Registration indicates Stephanie Marie Stephens is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Stephanie Marie Stephens APRN |
| Practice Office Address | 11820 BEACH BLVD JACKSONVILLE, FL US |
| Practice Office Telephone | 9046429100 |
| Mailing Address | 11820 BEACH BLVD JACKSONVILLE, FL 322466670 US |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 11024528
FL |