Individual
JERI D. STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
1004 PROGRESS DR STE 200, LANSING, KS 66043-6323
(913) 651-3111
(913) 651-3103
Mailing address
1004 PROGRESS DR STE 200, LANSING, KS 66043-6323
(913) 651-3111
(913) 651-3103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500590
KS
Other
Enumeration date
07/17/2006
Last updated
10/19/2022
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