Individual
MRS. MARY DEANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 HOSPITALITY DR, SIKESTON, MO 63801-9382
(573) 471-0200
(573) 471-7559
Mailing address
102 HOSPITALITY DR, SIKESTON, MO 63801-9382
(573) 471-0200
(573) 471-7559
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
104480
MO
Other
Enumeration date
11/06/2006
Last updated
02/15/2022
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