Individual
ALEXIS STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6400 E BROAD ST STE 4004TH, COLUMBUS, OH 43213-2086
(614) 655-3345
(614) 317-4689
Mailing address
2509 BURGANDY LN, COLUMBUS, OH 43232-7206
(614) 749-9422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
161145
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.161145.MEDS-IV
OH
Other
Enumeration date
04/19/2017
Last updated
04/21/2020
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