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Jherika B Stephens

Community Health Worker in Minneapolis, MN. Individual provider (NPI-1).

NPI number1760128136
StatusActive
Last updated in NPPESMay 13, 2022

Details

NPI
1760128136
Entity type
Individual (NPI-1)
Name
Mrs. Jherika B Stephens
Sex
Female
Sole proprietor
Yes
Enumeration date
May 9, 2022
Certification date
May 13, 2022
Last updated
May 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–MNYes

Practice location

722 Morgan Ave N
Minneapolis, MN 55411-3829

Phone 612-501-4839

Mailing address

722 Morgan Ave N
Minneapolis, MN 55411-3829

Phone 612-842-3604

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