Individual
DEBRA LYNN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3011 W SMOKEY ROW RD, STE. A, BARGERSVILLE, IN 46106-8803
(317) 535-0453
(318) 535-0467
Mailing address
3011 W SMOKEY ROW RD, STE. A, BARGERSVILLE, IN 46106-8803
(317) 535-0453
(318) 535-0467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28062242A
IN
363L00000X
Nurse Practitioner
Primary
71000422A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200168550A
—
IN
05
—
200405900
—
IN
Enumeration date
07/05/2005
Last updated
10/26/2012
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