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JEANNE-MARIE LABORDE STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(828) 777-8663
Mailing address
2406 MIMOSA PL, WILMINGTON, NC 28403-2432
(828) 777-8663

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
197066
TN
367500000X
Certified Registered Nurse Anesthetist
22872
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
6943
NC

Other

Enumeration date
03/09/2017
Last updated
10/17/2022
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