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Individual

CLARISSA NICOLE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3542

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013658
NC
363LA2100X
Acute Care Nurse Practitioner
5013658
NC
363LA2200X
Adult Health Nurse Practitioner
5013658
NC
363LF0000X
Family Nurse Practitioner
Primary
5013658
NC
363LG0600X
Gerontology Nurse Practitioner
5013658
NC

Other

Enumeration date
10/15/2020
Last updated
06/07/2023
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