Individual
LAURIE SUE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2112 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 870-5108
Mailing address
300 ARCADIA LOOP, APT H, YORKTOWN, VA 23692-4090
(757) 870-5108
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024171893
VA
Other
Enumeration date
08/15/2014
Last updated
09/24/2019
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