Individual provider · Type 1 NPI

Shannon Grist Stephens

Specialist · Atoka, OK

NPI number 1396092482 Active

Practice location

660 Big Slough Rd.
Atoka, OK 74525-0000

Mailing address

660 Big Slough Rd
Atoka, OK 74525-0000

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396092482

Shannon Grist Stephens's National Provider Identifier is 1396092482, issued on Aug 8, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atoka, OK. The record was last updated on Aug 8, 2012.