Individual
TRACY NEVADA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2411
Mailing address
698 GRAND IVEY PL, DACULA, GA 30019-7925
(912) 247-1999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198358
GA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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