Individual
SHANNON STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
903 E WASHINGTON ST, IDABEL, OK 74745-3333
(580) 920-7211
Mailing address
903 E WASHINGTON ST, IDABEL, OK 74745-3333
(580) 920-7211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0097129
OK
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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