Individual
MRS. JAMIE NICOLE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1908 W CRESCENT DR, CRAWFORDSVILLE, IN 47933-8938
(765) 366-3117
Mailing address
1908 W CRESCENT DR, CRAWFORDSVILLE, IN 47933-8938
(765) 366-3117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27075564A
IN
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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