Individual
KERRI ANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2331 PROGRESS ST, SUITE D, WEST BRANCH, MI 48661-9384
(989) 345-1184
(989) 345-6944
Mailing address
2331 PROGRESS ST, SUITE D, WEST BRANCH, MI 48661-9384
(989) 345-1184
(989) 345-6944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704240636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704240636
RN & FNP LICENSE
MI
Enumeration date
06/05/2012
Last updated
06/05/2012
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