SAMANTHA J STEPHENSON

FORT WAYNE, IN
NPI1407227911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71005916A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28178619A)
Enumeration Date2015-10-09
Last Update Date2023-03-31
Business Address
SAMANTHA J STEPHENSON N.P.
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
Mailing Address
SAMANTHA J STEPHENSON N.P.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: