Jeremy Scott Stevens
Registered Nurse in Eustace, TX. Individual provider (NPI-1).
NPI number1982104402
StatusActive
Last updated in NPPESFeb 21, 2018
Details
- NPI
- 1982104402
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Scott Stevens
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2018
- Last updated
- Feb 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 866747 | TX | Yes |
Practice location
14749 Dusti RdEustace, TX 75124-5543
Phone 972-467-4465
Mailing address
14749 Dusti RdEustace, TX 75124-5543
Phone 972-467-4465
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