Individual
SHERIDAN MALLORY STEVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016361A
IN
363LF0000X
Family Nurse Practitioner
28201216A
IN
363LF0000X
Family Nurse Practitioner
71016361A
IN
Other
Enumeration date
02/26/2025
Last updated
08/18/2025
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