Individual
CARLY RAE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-6609
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.021485
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRNCNP.021485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240445
—
OH
Enumeration date
08/10/2017
Last updated
10/28/2025
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