Individual
DEVRA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
75 CORAL AVE, BRIDGETON, NJ 08302-2209
(800) 950-6066
Mailing address
1 E FOUNDRY ST, MILLVILLE, NJ 08332-2513
(856) 974-3099
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05588300
NJ
Other
Enumeration date
09/18/2007
Last updated
09/12/2023
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