Individual
VICKY STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
262 GOLDENSTAR LN, PORTSMOUTH, VA 23701-4324
(757) 609-5859
(757) 609-5859
Mailing address
262 GOLDENSTAR LN, PORTSMOUTH, VA 23701-4324
(757) 609-5859
(757) 609-5859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002084460
VA
251E00000X
Home Health Agency
0002084460
VA
251J00000X
Nursing Care Agency
0002084460
VA
253Z00000X
In Home Supportive Care Agency
0002084460
VA
364SH0200X
Home Health Clinical Nurse Specialist
0002084460
VA
385H00000X
Respite Care
0002084460
VA
Other
Enumeration date
07/11/2025
Last updated
09/23/2025
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