Healthcare Provider Details

I. General information

NPI: 1841693157
Provider Name (Legal Business Name): ALLISON BROOKE STEVENS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CENTURY PKWY STE A
MOUNT LAUREL NJ
08054-1129
US

IV. Provider business mailing address

150 CENTURY PKWY STE A
MOUNT LAUREL NJ
08054-1129
US

V. Phone/Fax

Practice location:
  • Phone: 856-778-4700
  • Fax:
Mailing address:
  • Phone: 856-778-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP022757
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number26NJ00534900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: