Individual
STEPHANIE LAKAY CLOVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1900 RESTON METRO PLZ STE 600, RESTON, VA 20190-5952
(703) 621-1501
(703) 740-0094
Mailing address
1900 RESTON METRO PLZ STE 600, RESTON, VA 20190-5952
(703) 621-1501
(703) 740-0994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9371272
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
0024178829
VA
Other
Enumeration date
04/16/2018
Last updated
10/28/2025
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