| NPI | 1689322026 |
|---|---|
| Former Name | STACEY L STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH CNP0032773) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN355876) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-12-07 |