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NPI Code Detail

MEDICARE: ELIZABETH STEPHENSON FNP

MEDICARE: ELIZABETH STEPHENSON 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 Practitioner1016668TX

General Provider Information

NPI Number : 1801483896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH STEPHENSON FNP
Provider Business Mailing Address
First Line : 6529 W PLANO PKWY STE D
Second Line :
City : PLANO
State : TX
Zip : 75093-8262
Country : US
Telephone Number : 972-781-1414
Fax Number :
Provider Business Practice Location Address
First Line : 6529 W PLANO PKWY STE D
Second Line :
City : PLANO
State : TX
Zip : 75093-8262
Country : US
Telephone Number : 972-781-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2020
Last Update Date : 03/12/2021

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Directions to “ ELIZABETH STEPHENSON FNP” Practice Location

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