person
Shane Stephens
Psychiatric/Mental Health Nurse Practitioner in Johnson City, Tennessee
NPI 1285117606

Shane Stephens is a Psychiatric/Mental Health Nurse Practitioner based in Duffield, TN and is specialized in Psychiatric/Mental Health. Shane Stephens practices in Johnson City, TN. The NPI Number for Shane Stephens is 1285117606 and holds a License No. 24695 (Tennessee).

The current practice location address for Shane Stephens is 701 Med Tech Pkwy, Johnson City, TN and can be reached out via phone at 423-302-3480 and via fax at 423-833-0639.

Location: 701 Med Tech Pkwy, Johnson City, TN, 24244-2979
person
Provider Profile Details
NPI Number
1285117606
Provider Name
Shane Stephens
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 Med Tech Pkwy, Johnson City, TN, 24244-2979
Phone Number
423-302-3480
Fax Number
423-833-0639
Provider Enumeration Date
09/11/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
701 Med Tech Pkwy
City
State
Zip
37604-2365
Phone Number
423-302-3480
Fax Number
423-833-0639
person
Provider Business Mailing Address Details
Address
701 Med Tech Pkwy
City
State
Zip
37604-2365
Phone Number
423-302-3480
Fax Number
423-833-0639
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
24695 (Tennessee)
Definition
Definition to come...
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