Doctor Name: | MRS. ALEXIS STEPHENS |
NPI Number: | 1235416470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 744533 |
Business Practice Address: | 120 S Park Dr Ste C Brownwood, TX - 768015958 |
Business Phone Number: | 3256412686 |
Business Fax Number: | |
Mailing Address: | 120 S Park Dr Ste C, BROWNWOOD |
State: | TX |
Postal Code: | 768015958 |
Phone Number: | 3256412686 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2011 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 744533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |