Individual provider · Type 1 NPI

Shawn Stephens

Gerontology Nurse Practitioner · St. Cloud, FL

NPI number 1104651603 Active

Practice location

2906 17th St
St. Cloud, FL 34769-6006

Mailing address

5516 Great Egret Dr
Leesburg, FL 34748-2034

Other practice locations

  • 525 Technology Park Ste 109, Lake Mary, FL 32746-7107 · (407) 647-2346

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X11035070 (FL)
Gerontology Nurse Practitioner Primary 363LG0600X11035070 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1104651603

Shawn Stephens's National Provider Identifier is 1104651603, issued on Sep 4, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Cloud, FL. The record was last updated on Mar 3, 2026.