Individual
MARCUS STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
108 4TH AVE NE, REFORM, AL 35481-2227
(205) 375-6251
Mailing address
108 4TH AVE NE # A, REFORM, AL 35481-2227
(205) 375-6251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-141024
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-141024
AL
Other
Enumeration date
12/31/2019
Last updated
08/09/2023
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