Individual
MS. STEPHANIE JO SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
555 MIDTOWNE ST NE STE 105, GRAND RAPIDS, MI 49503-5731
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
4704301147
MI
363L00000X
Nurse Practitioner
Primary
4704301147
MI
363LF0000X
Family Nurse Practitioner
4704301147
MI
Other
Enumeration date
05/27/2024
Last updated
10/14/2024
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