Doctor Name: | MS. CAROLYN ELIZABETH STEVENS |
NPI Number: | 1083831069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N. |
License Number: | R31912 |
Business Practice Address: | 901 N 7th St West Memphis, AR - 723012001 |
Business Phone Number: | 8707354334 |
Business Fax Number: | 8707351393 |
Mailing Address: | 228 Cabriolet St, MARION |
State: | AR |
Postal Code: | 723642516 |
Phone Number: | 9014854156 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 02/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R31912 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |