Individual
EMILY JANE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1510 COLUMBUS AVE, SUITE 230, WASHINGTON COURT HOUSE, OH 43160-1899
(740) 333-3333
(740) 333-5171
Mailing address
1450 COLUMBUS AVE STE B 6-7-8, WASHINGTON COURT HOUSE, OH 43160-3701
(740) 333-3333
(740) 333-5171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13697-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072199
—
OH
Enumeration date
09/07/2012
Last updated
07/07/2020
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