Individual
KEONA LEE STEPHENS
Active
Individual
KEONA LEE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000146246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000146246
FNP LICENSE
MO
Enumeration date
01/30/2006
Last updated
12/01/2011
Update your record
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