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Individual

MS. JANEA STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4594
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP020975
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020975
PA

Other

Enumeration date
10/17/2019
Last updated
12/02/2022
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