Individual
AMY JAYNE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
267 E SAINT LOUIS ST, NASHVILLE, IL 62263-1702
(618) 244-0031
(952) 473-7281
Mailing address
2 CARLSON PKWY N, STE 240, PLYMOUTH, MN 55447-4485
(618) 327-8486
(618) 327-8523
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
85001889
IL
363A00000X
Physician Assistant
Primary
85001889
IL
Other
Enumeration date
09/15/2005
Last updated
03/01/2024
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