SHANE STEPHENS

JOHNSON CITY, TN
NPI1285117606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  24695)
Enumeration Date2018-09-11
Last Update Date2024-03-20
Business Address
SHANE STEPHENS
701 MED TECH PKWY
JOHNSON CITY, TN 37604-2365
Phone number: 423-302-3480
Mailing Address
SHANE STEPHENS
7032 ROBINETTE VALLEY RD
DUFFIELD, VA 24244-2979
Phone number: 828-551-5679
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