NPI | 1811916786 |
---|---|
Other Name | JEFF M STEPHENS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177544) |
Additional Taxonomies | 2279E0002X Respiratory Therapist, Registered, Emergency Care (Licence: CA 25831) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2021-10-20 |