Individual provider · Type 1 NPI

Mary Jeanne Mooney-Leber Stephens, APRN, CNP

Nurse Practitioner · Stillwater, MN

NPI number 1083105308 Active

Practice location

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040

Mailing address

8170 33rd Ave S, Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5190 (MN)
Gerontology Nurse Practitioner 363LG0600X5190 (MN)

Nurse Practitioner: (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 wit…

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About NPI 1083105308

Mary Jeanne Mooney-Leber Stephens, APRN, CNP's National Provider Identifier is 1083105308, issued on May 22, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stillwater, MN. The record was last updated on Jun 8, 2026.