MEDICARE: STEPHANIE L SPEIGHTS-SELLERS APRN

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	363LF0000X	Family Nurse Practitioner	GAA-NP002943	GA
2	363LF0000X	Family Nurse Practitioner	F22478	SC
3	363LF0000X	Family Nurse Practitioner	3-002629	AL
4	363LF0000X	Family Nurse Practitioner	AP60923346	WA
5	363LF0000X	Family Nurse Practitioner	C-APN.0103384-C-NP	CO
6	363LF0000X	Family Nurse Practitioner	10050974	OR
7	363LF0000X	Family Nurse Practitioner	APRN9278331	FL
8	363LF0000X	Family Nurse Practitioner	281898	AZ
9	363LF0000X	Family Nurse Practitioner	0024192309	VA
10	363LF0000X	Family Nurse Practitioner	71017436A	IN
11	363LF0000X	Family Nurse Practitioner	APRN.CNP.0041055	OH

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	:	1841720240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE L SPEIGHTS-SELLERS APRN

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 HOWELL MILL RD NW FL 8
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-5557
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

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

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	12/23/2025

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