Individual
MRS. STEPHANIE MARIE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8101 W 135TH ST, SUITE 200, OVERLAND PARK, KS 66223-1111
(913) 491-3999
(913) 491-9309
Mailing address
7800 COLLEGE BLVD, SUITE 200, OVERLAND PARK, KS 66210-1992
(913) 491-3999
(913) 491-9309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014004534
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679998181
—
MO
05
—
201098930A
—
KS
Enumeration date
02/20/2014
Last updated
02/11/2022
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