Individual
MARY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 CREEK BLUFF TRL, WARNER ROBINS, GA 31093-7639
(229) 331-5027
Mailing address
1568 CHERRY HILL PARK, MACON, GA 31204-4907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN084904
GA
363L00000X
Nurse Practitioner
Primary
RN084904
GA
Other
Enumeration date
02/09/2026
Last updated
03/02/2026
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