Individual
STEPHANIE R JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3601 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2358
(816) 207-2000
(816) 207-2222
Mailing address
3601 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2358
(816) 207-2000
(816) 207-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011019317
MO
Other
Enumeration date
06/29/2011
Last updated
11/07/2017
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