Individual
JEFF STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5234 AIRPORT RD NW # 200, ROANOKE, VA 24012-1603
(540) 563-8000
Mailing address
5234 AIRPORT RD NW # 200, ROANOKE, VA 24012-1603
(540) 563-8000
Taxonomy
Speciality
Code
Description
License number
State
2279E0002X
Emergency Care Registered Respiratory Therapist
25831
CA
363LF0000X
Family Nurse Practitioner
Primary
0024177544
VA
Other
Enumeration date
07/19/2006
Last updated
05/28/2025
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