Individual
MARY JEANNE MOONEY-LEBER STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5190
MN
363LG0600X
Gerontology Nurse Practitioner
5190
MN
Other
Enumeration date
05/22/2018
Last updated
06/08/2026
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