Individual
JORDON ELIZABETH STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 E SOFT WIND DR, PHOENIX, AZ 85024-8667
(480) 440-6731
Mailing address
3124 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 445-7085
(928) 445-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8139
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/20/2019
Last updated
10/20/2020
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