Individual
SYCERIA TYESHA-MICHELLE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC-C
Contact information
Practice address
30 SHREWSBURY PLZ, SHREWSBURY, NJ 07702-4322
(732) 542-0002
(732) 542-2992
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00591100
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00591100
NJ
Other
Enumeration date
01/09/2016
Last updated
05/01/2018
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