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Individual
MR. TRAVIS JAMES STEVENS
Active
Individual
MR. TRAVIS JAMES STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
025029
OH
363LF0000X
Family Nurse Practitioner
Primary
3011944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360776
—
OH
05
—
7100544440
—
KY
Enumeration date
01/04/2018
Last updated
10/29/2025
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