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Individual
STEPHEN TERRY BAXLEY JR.
Active
Individual
STEPHEN TERRY BAXLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18173
TN
363LF0000X
Family Nurse Practitioner
29721
SC
363LF0000X
Family Nurse Practitioner
3008586
KY
363LF0000X
Family Nurse Practitioner
5009521
NC
Other
Enumeration date
03/27/2014
Last updated
05/05/2025
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