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NPI Code Detail

MEDICARE: LINDSEY NICOLE STEVENSON CNP

MEDICARE: LINDSEY NICOLE STEVENSON CNP
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.CNP.0031300OH

General Provider Information

NPI Number : 1790417269
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY NICOLE STEVENSON CNP
Provider Business Mailing Address
First Line : 1958 E US HIGHWAY 36 STE C
Second Line :
City : URBANA
State : OH
Zip : 43078-9799
Country : US
Telephone Number : 937-652-1834
Fax Number :
Provider Business Practice Location Address
First Line : 1958 E US HIGHWAY 36 STE C
Second Line :
City : URBANA
State : OH
Zip : 43078-9799
Country : US
Telephone Number : 937-652-1834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2022
Last Update Date : 02/02/2026

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