Organization
MARYJANE NP INC
Active
Organization
MARYJANE NP INC
Active
Other names
Evonne B Stephenson
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVONNE B STEPHENSON APRN-CNP (FAMILY NURSE PRACTITIONER)
(513) 677-8855
Entity
Organization
Contact information
Practice address
3830 WOODRIDGE BLVD STE C, FAIRFIELD, OH 45014-7564
(702) 907-2733
Mailing address
6370 IRONWOOD DR, LOVELAND, OH 45140-8573
(513) 677-8855
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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