Individual
AMANDA JANE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1775 ONE HEALING PL, TALLAHASSEE, FL 32308-4600
(850) 431-4888
Mailing address
1775 ONE HEALING PL, TALLAHASSEE, FL 32308-4600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101019670
MI
207VX0201X
Gynecologic Oncology Physician
Primary
OS13776
FL
Other
Enumeration date
04/11/2012
Last updated
08/02/2019
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