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NPI Code Detail

MEDICARE: CIERRA DEANNA STEVENSON FNP-BC

MEDICARE: CIERRA DEANNA STEVENSON FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN-NP231965GA

General Provider Information

NPI Number : 1417882481
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERRA DEANNA STEVENSON FNP-BC
Provider Business Mailing Address
First Line : 112 PLANTERS RIDGE TRL
Second Line :
City : KATHLEEN
State : GA
Zip : 31047-2442
Country : US
Telephone Number : 478-952-7085
Fax Number :
Provider Business Practice Location Address
First Line : 2054 WATSON BLVD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31093-3634
Country : US
Telephone Number : 478-918-0770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ CIERRA DEANNA STEVENSON FNP-BC” Practice Location

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