Individual
SHEDEEN STEPHENS-BACON
Active
Individual
SHEDEEN STEPHENS-BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
613336-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F354847
NY
364SF0001X
Family Health Clinical Nurse Specialist
Primary
F354847
NY
390200000X
Student in an Organized Health Care Education/Training Program
178679
CT
Other
Enumeration date
08/05/2022
Last updated
03/20/2026
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