Individual
NATHAN JAMES STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ENTERPRISE DR STE A, PENDLETON, IN 46064-9038
(765) 298-4567
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01085040A
IN
207Q00000X
Family Medicine Physician
35.137484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00382721
RAILROAD MEDICARE
IN
Enumeration date
03/27/2018
Last updated
10/09/2025
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