Individual
KELLI DEAN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2518 N MAIN ST, MIAMI, OK 74354-1602
(918) 540-9077
(918) 540-9080
Mailing address
PO BOX 13620, OKLAHOMA CITY, OK 73113-1629
(405) 445-1210
(405) 445-3310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
33371
TN
363LF0000X
Family Nurse Practitioner
201394741NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
225099
OK
363LF0000X
Family Nurse Practitioner
AP60494710
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
201800264NP-PP
OR
367A00000X
Advanced Practice Midwife
201800264NP-PP
OR
367A00000X
Advanced Practice Midwife
33371
TN
Other
Enumeration date
01/21/2011
Last updated
08/13/2025
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