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Individual

MRS. YVETTE E STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC

Contact information

Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236
(210) 520-3078
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 520-3078

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
578861
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
578861
REGISTERD NURSE LICENSE
TX
Enumeration date
04/11/2006
Last updated
08/01/2018
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