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Individual

ANDREA L STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 748-3412
(812) 748-3413
Mailing address
1904 WASHINGTON AVE APT B, VINCENNES, IN 47591-4944
(812) 910-0566
(812) 316-1117

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28140893A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002451A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000531692
ANTHEM PIN
IN
05
200871380
IN
Enumeration date
07/25/2007
Last updated
03/20/2026
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