Individual
JUDY L STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1830 DESTINY LN, BOWLING GREEN, KY 42104-1087
(270) 781-1101
(270) 781-1120
Mailing address
1830 DESTINY LN, BOWLING GREEN, KY 42104-1087
(270) 781-1101
(270) 781-1120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4356P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013109
—
KY
Enumeration date
07/18/2006
Last updated
07/09/2007
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