Individual
JEFFREY JAMES STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
426 COUNTY ROAD 459, CARTHAGE, TX 75633-8260
(903) 690-1753
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1001184
TX
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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