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NPI Code Detail

MEDICARE: BENJAMIN SCHAFER STEVENSON APRN

MEDICARE: BENJAMIN SCHAFER STEVENSON 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
1363L00000XNurse PractitionerAPRN11026258FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184314569
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN SCHAFER STEVENSON APRN
Provider Business Mailing Address
First Line : 1834 LISENBY AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3761
Country : US
Telephone Number : 850-215-6008
Fax Number : 850-215-6020
Provider Business Practice Location Address
First Line : 1834 LISENBY AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3761
Country : US
Telephone Number : 850-215-6008
Fax Number : 850-215-6020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2023
Last Update Date : 03/11/2026

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