Individual
JAY DON STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1133 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 781-7400
(816) 781-3315
Mailing address
1133 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 781-7400
(816) 781-3315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018031757
MO
363L00000X
Nurse Practitioner
53-78388-122
KS
363LF0000X
Family Nurse Practitioner
2018031757
MO
363LF0000X
Family Nurse Practitioner
53-78388-122
KS
Other
Enumeration date
11/16/2018
Last updated
01/07/2025
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