MEDICARE: MRS. PORTIA LYNETTE STEPHENS RN MS FNP-C

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	743146	TX

General Provider Information

NPI Number	:	1184979627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PORTIA LYNETTE STEPHENS RN MS FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 660599
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75266-0599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1936 AMELIA CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7706
Country	:	US
Telephone Number	:	214-590-8369
Fax Number	:

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

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	08/16/2013

Similar Medicare Providers

1548243538 — MICHIELLE N. FISHER MD
Practice Location Address:

1936 AMELIA CT , SENIOR HOUSE CALLS- SUPPORT BLDG C
DALLAS, TX
75235-7706

Practice Phone: 214-590-0409
Practice Fax:

1396719167 — FRANCES S. MILLER-JOCHUM CNS
Practice Location Address:

1936 AMELIA COURT , GERIATRIC CENTER & SENIOR SERVICES
DALLAS, TX
75235-7706

Practice Phone: 214-590-8369
Practice Fax: 214-590-8780

1811961519 — JOLLY THOMAS ANP
Practice Location Address:

1936 AMELIA CT , GERIATRIC CENTER & SENIOR SERVICES
DALLAS, TX
75235-7706

Practice Phone: 214-590-8369
Practice Fax: 214-590-8780

1508833203 — ABIMBOLA Y. AWODIPE MD
Practice Location Address:

1936 AMELIA CT , GERIATRIC CENTER & SENIOR SERVICES
DALLAS, TX
75235-7706

Practice Phone: 214-590-8369
Practice Fax:

1528015864 — DR. EMRAN RAHMAN MD
Practice Location Address:

1936 AMELIA CT
DALLAS, TX
75235-7706

Practice Phone: 214-590-5637
Practice Fax:

1942589205 — MINH DO
Practice Location Address:

1936 AMELIA CT
DALLAS, TX
75235-7706

Practice Phone: 214-590-8369
Practice Fax:

Directions to “ MRS. PORTIA LYNETTE STEPHENS RN MS FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.