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Shasta M Stephens, AGACNP
Nurse Practitioner in Medford, Oregon
NPI 1417312315

Shasta M Stephens is a Nurse Practitioner based in Fair Oaks, OR. Shasta M Stephens practices in Medford, OR and has the professional credentials of AGACNP. The NPI Number for Shasta M Stephens is 1417312315 and holds a License No. 202010137NP-PP (Oregon).

The current practice location address for Shasta M Stephens is 1111 Crater Lake Ave, Medford, OR and can be reached out via phone at 541-732-5545 and via fax at 541-732-5548. You can also correspond with Shasta M Stephens through the mailing address at 6608 MERCY CT STE B, FAIR OAKS, CA - 95628-3171 (mailing address contact number: 916-241-9844).

Location: 1111 Crater Lake Ave, Medford, OR, 95628-3171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417312315
Provider Name
Shasta M Stephens
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
1111 Crater Lake Ave, Medford, OR, 95628-3171
Phone Number
541-732-5545
Fax Number
541-732-5548
Provider Enumeration Date
12/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500786244 05 OR
institution
Provider Business Practice Location Address Details
Address
1111 Crater Lake Ave
City
Medford
State
Oregon
Zip
97504-6241
Phone Number
541-732-5545
Fax Number
541-732-5548
person
Provider Business Mailing Address Details
Address
1111 Crater Lake Ave
City
Medford
State
Oregon
Zip
97504-6241
Phone Number
541-732-5545
Fax Number
541-732-5548
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95006534 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
307579 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
202010137NP-PP (Oregon)
Definition
Definition to come...
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