Individual
STEPHANIE MARIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
Mailing address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11024528
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11024528
FL
Other
Enumeration date
01/02/2023
Last updated
04/06/2023
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