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General NPI Number Information
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NPI Number | 1124308192
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Entity Type | Individual
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Provider Name | HEIDI STEVENS ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 9019 OVERLOOK BLVD STE C1B
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City | BRENTWOOD
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State | TN
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Zip | 37027-2737
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Country | US
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Telephone | 615-274-9767
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Fax | 833-450-4801
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Provider Business Mailing Address
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Address Line | 9019 OVERLOOK BLVD STE C1B
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City | BRENTWOOD
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State | TN
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Zip | 37027-2737
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Country | US
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Telephone | 615-274-9767
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Fax | 833-450-4801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 209-008948
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10447699
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 10447699
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License Number State | TN
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