Individual
NICOLE LYNN STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
7740 BRIDGE POINT DR, CINCINNATI, OH 45248-1922
(513) 502-0035
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
11015579
FL
Other
Enumeration date
11/18/2021
Last updated
12/28/2021
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