Individual
JAMIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 E WYLIE AVE, SUITE 2 AND 3, WASHINGTON, PA 15301-2059
(724) 222-6220
(724) 222-6221
Mailing address
50 E WYLIE AVE, SUITE 2 AND 3, WASHINGTON, PA 15301-2059
(724) 222-6220
(724) 222-6221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN288962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992170930
—
PA
Enumeration date
06/05/2016
Last updated
06/05/2016
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