Individual
STACYANN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 FLORENCIA PL, MELBOURNE, FL 32940-7697
(305) 338-5141
Mailing address
2626 FLORENCIA PL, MELBOURNE, FL 32940-7697
(305) 338-5141
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP11030019
FL
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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