MEDICARE: MR. JOHN E STEVENS MS, RN

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	363LA2200X	Adult Health Nurse Practitioner	AP117321	TX

General Provider Information

NPI Number	:	1992953160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN E STEVENS MS, RN

Provider Business Mailing Address
First Line	:	2603 OAK LAWN AVE
Second Line	:	SUITE 100
City	:	DALLAS
State	:	TX
Zip	:	75219-4021
Country	:	US
Telephone Number	:	214-219-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4211 CEDAR SPRINGS RD STE 110
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-2600
Country	:	US
Telephone Number	:	214-219-4000
Fax Number	:

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

Provider Enumeration Date	:	08/29/2008
Last Update Date	:	12/16/2025

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Directions to “ MR. JOHN E STEVENS MS, RN” Practice Location

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