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NPI Code Detail

MEDICARE: KIMBERLY STEPHENS FNP

MEDICARE: KIMBERLY STEPHENS FNP
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
1363LF0000XFamily Nurse Practitioner11025560FL

General Provider Information

NPI Number : 1427681477
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY STEPHENS FNP
Provider Business Mailing Address
First Line : 5130 SUNFOREST DR
Second Line :
City : TAMPA
State : FL
Zip : 33634-6318
Country : US
Telephone Number : 941-218-9891
Fax Number : 844-897-3611
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR
Second Line :
City : TAMPA
State : FL
Zip : 33634-6318
Country : US
Telephone Number : 941-218-9891
Fax Number : 844-897-3611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2020
Last Update Date : 04/13/2026

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