Individual
ELISA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
640 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-2046
(307) 733-6289
Mailing address
PO BOX 1868, JACKSON, WY 83001-1868
(307) 733-2046
(307) 733-6289
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN165748
AZ
164W00000X
Licensed Practical Nurse
AP3882
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
38889.1584
WY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
38889.1584
WY
Other
Enumeration date
12/30/2010
Last updated
01/21/2022
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