Individual
JENNIFER JO STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S LUCAS ST, LOWRY CITY, MO 64763-9114
(660) 492-3113
Mailing address
400 S LUCAS ST, LOWRY CITY, MO 64763-9114
(660) 492-3113
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
22136A
MO
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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