MEDICARE: JANIE NICOLE STEPHENSON

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	104100000X	Social Worker		KS

General Provider Information

NPI Number	:	1306709464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANIE NICOLE STEPHENSON

Provider Business Mailing Address
First Line	:	919 N PINE ST
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-2719
Country	:	US
Telephone Number	:	316-706-0334
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 N PINE ST
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-2719
Country	:	US
Telephone Number	:	316-706-0334
Fax Number	:

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

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ JANIE NICOLE STEPHENSON ” Practice Location

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