Individual
KANDACE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6047 TYVOLA GLEN CIR, CHARLOTTE, NC 28217-6431
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 483-9300
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5018629
NC
Other
Enumeration date
08/15/2023
Last updated
02/16/2024
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