Individual
MR. DEWAYNE SCOTT STEFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN7390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G706781
GROUP MEDICARE PTAN
TN
01
—
1831467067
GROUP NPI
TN
01
—
3386406
MEDICARE PTAN
TN
Enumeration date
08/16/2005
Last updated
11/05/2013
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