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Individual
STEPHANIE PRESTON
Active
Individual
STEPHANIE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36270
TN
363LF0000X
Family Nurse Practitioner
71009681A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71009681A
STATE
IN
Enumeration date
02/04/2020
Last updated
06/27/2024
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