KELLI DEAN STEPHENSON

MEMPHIS, TN
NPI1780989772
Other NameKELLI DEAN BANKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: TN  33371)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TN  33371)
363LF0000X Nurse Practitioner, Family
(Licence: OR  201394741NP-PP)
363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60494710)
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: OR  201800264NP-PP)
367A00000X Advanced Practice Midwife
(Licence: OR  201800264NP-PP)
Enumeration Date2011-01-21
Last Update Date2023-03-09
Business Address
KELLI DEAN STEPHENSON FNP-C
2500 PERES AVE
MEMPHIS, TN 38108-1660
Phone number: 901-515-5500
Mailing Address
KELLI DEAN STEPHENSON FNP-C
877 JEFFERSON AVENUE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 015-456-2869