Individual
MS. PATRICIA ANN JUSTICE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11770 RODEO DR, SKIATOOK, OK 74070-5804
(405) 473-2123
Mailing address
11770 RODEO DR, SKIATOOK, OK 74070-5804
(405) 473-2123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
43974
OK
163WW0000X
Wound Care Registered Nurse
2017
OK
Other
Enumeration date
06/25/2007
Last updated
11/06/2016
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