Individual
VANESSA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5165 NORTHLAND DR NE, GRAND RAPIDS, MI 49525-1015
(843) 990-1965
Mailing address
3559 ROOKWOOD PL, JOHNS ISLAND, SC 29455-8184
(843) 990-1965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28594
SC
363L00000X
Nurse Practitioner
4704245528
MI
363L00000X
Nurse Practitioner
80009
NM
Other
Enumeration date
05/14/2024
Last updated
11/04/2025
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