Individual
TINY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
675 COLLEGE AVE, ATHENS, GA 30601-2635
(706) 546-5526
Mailing address
675 COLLEGE AVE, ATHENS, GA 30601-2635
(706) 546-5526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN233192
GA
363L00000X
Nurse Practitioner
Primary
RN233192
GA
Other
Enumeration date
04/15/2014
Last updated
02/23/2022
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