MEDICARE: MS. JANET STEVENS NP

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
1	363L00000X	Nurse Practitioner	311280	NY
2	363LA2200X	Adult Health Nurse Practitioner	300944	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568453330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET STEVENS NP

Provider Business Mailing Address
First Line	:	1009 WINDCROSS CT
Second Line	:	STE 101
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2678
Country	:	US
Telephone Number	:	615-224-5438
Fax Number	:	855-247-8787

Provider Business Practice Location Address
First Line	:	1 PENN PLZ
Second Line	:	STE 725
City	:	NEW YORK
State	:	NY
Zip	:	10119-0002
Country	:	US
Telephone Number	:	615-224-5438
Fax Number	:	855-247-8787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	11/14/2014

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