Individual
JAMIE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1211 COOLIDGE BLVD, LAFAYETTE, LA 70503-2636
(337) 289-0042
Mailing address
1211 COOLIDGE BLVD, SUITE 300, LAFAYETTE, LA 70503-2636
(337) 289-0042
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP07747
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP125574
TX
Other
Enumeration date
05/19/2014
Last updated
04/29/2015
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