Individual
CAROLENE GLORIA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
30 PROSPECT AVE, DOM RAPID RESPONSE TEAM, HACKENSACK, NJ 07601-1914
(551) 996-1221
Mailing address
30 PROSPECT AVE, DOM RAPID RESPONSE TEAM, HACKENSACK, NJ 07601-1914
(551) 996-1221
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00268200
NJ
Other
Enumeration date
04/01/2010
Last updated
01/26/2017
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