Individual
JENNIFER LASHAWN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1071 HIGHWAY 16 WEST, GRIFFIN, GA 30223
(770) 229-3407
Mailing address
PO BOX 1323, GRIFFIN, GA 30224-0032
(678) 896-8190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274720
GA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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