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
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11035070 (FL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11035070 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in St. Cloud
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.