Individual
SHIELOH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 6TH FLOOR, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9232974
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9232974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020016900
—
FL
01
—
MGLCX
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/08/2017
Last updated
05/10/2022
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