Individual
BEVERLY STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 S 4TH ST, CANADIAN, TX 79014-3315
(806) 323-8882
Mailing address
1511 LOCUST ST, CANADIAN, TX 79014-3509
(806) 679-8733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134586
TX
Other
Enumeration date
07/20/2017
Last updated
08/30/2023
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