| Doctor Name: | EMILY JANE STEPHENS |
| NPI Number: | 1417206293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.13697-NP |
| Business Practice Address: | 1510 Columbus Ave Suite 230 Washington Court House, OH - 431601899 |
| Business Phone Number: | 7403333333 |
| Business Fax Number: | 7403333881 |
| Mailing Address: | 1450 Columbus Ave Ste 104, WASHINGTON COURT HOUSE |
| State: | OH |
| Postal Code: | 431603701 |
| Phone Number: | 7403332236 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2012 |
| NPI Last Update Date: | 09/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.13697-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |