Healthcare Provider Details

I. General information

NPI: 1932028271
Provider Name (Legal Business Name): REBEKAH STEVENS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 LENOX PARK DR # 101
MEMPHIS TN
38115-4397
US

IV. Provider business mailing address

6625 LENOX PARK DR # 101
MEMPHIS TN
38115-4397
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-0024
  • Fax:
Mailing address:
  • Phone: 901-683-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number42109
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: